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Individual
SANDRA J BAILEY
Active
Individual
SANDRA J BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
165998
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.161621
OH
101YM0800X
Mental Health Counselor
QMHS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0274897
—
OH
Enumeration date
04/09/2018
Last updated
12/17/2019
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