TIFFANY BAILLY-RENNER

COEUR D ALENE, ID
NPI1891014320
Former NameTIFFANY BAILLY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
(Licence: ID  30167)
Enumeration Date2010-05-24
Last Update Date2010-05-24
Business Address
-- TIFFANY BAILLY-RENNER LMSW
1200 W IRONWOOD DR
COEUR D ALENE, ID 83814-2660
Phone number: 208-664-9729
Mailing Address
-- TIFFANY BAILLY-RENNER LMSW
4736 E DEER RD
HARRISON, ID 83833-7894
Phone number:
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