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Individual
MS. KENDRA RAE BAILEY
Active
Individual
MS. KENDRA RAE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
66491
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512013461
—
CA
Enumeration date
06/06/2012
Last updated
10/18/2018
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