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Individual
BAILEY SMITH
Active
Individual
BAILEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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