Individual
EMILY BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 PEACHTREE CT, CRYSTAL LAKE, IL 60014-8999
(847) 431-4338
Mailing address
507 PEACHTREE CT, CRYSTAL LAKE, IL 60014-8999
(847) 431-4338
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1896122
IL
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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