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Individual

MR. RONALD WAYNE BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
MILLENNIUM MEDICAL SERVICES, 312 N. VAN BUREN ST, ENID, OK 73703
(580) 297-5125
Mailing address
4113 SAND VIEW DRIVE, ENID, OK 73703-2803
(580) 297-3618

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8098P
OK

Other

Enumeration date
09/07/2021
Last updated
09/07/2021
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