Individual
ANIQUA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17321 TELEGRAPH RD, DETROIT, MI 48219-3132
(313) 409-8132
Mailing address
PO BOX 40629, REDFORD, MI 48240-0629
(313) 409-8132
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
103K00000X
Behavior Analyst
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
06/22/2016
Last updated
06/24/2021
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