Individual
ALISON BAILEY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 ALICE AVE, PORTAGE, MI 49024-1202
(269) 364-8744
Mailing address
1514 ALICE AVE, PORTAGE, MI 49024-1202
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
900126108
MI
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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