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Bailey Severe, MS

Genetic Counselor, MS in Boise, ID. Individual provider (NPI-1).

NPI number1366060147
StatusActive
Last updated in NPPESJul 8, 2020

Details

NPI
1366060147
Entity type
Individual (NPI-1)
Name
Bailey Severe
Credential
MS
Sex
Female
Sole proprietor
No
Enumeration date
Jul 8, 2020
Certification date
Jul 8, 2020
Last updated
Jul 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
170300000X Genetic Counselor, MSGENP-224IDYes

Practice location

305 E Jefferson St
Boise, ID 83712-6231

Phone 208-381-7339

Mailing address

305 E Jefferson St
Boise, ID 83712-6231

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