Individual
ANDREA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
165 E PARK AVE, NILES, OH 44446-2352
(330) 544-8005
(330) 544-9379
Mailing address
3011 KIRKHAVEN DR, YOUNGSTOWN, OH 44511-1947
(330) 774-6229
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S0500353
OH
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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