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Individual
DR. MICHAEL DESHUN BAILEY
Active
Individual
DR. MICHAEL DESHUN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008996
VA
1041C0700X
Clinical Social Worker
44SC05565400
NJ
Other
Enumeration date
11/05/2012
Last updated
10/09/2019
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