Individual
BAILEY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFTA
Contact information
Practice address
942 W 4TH ST, WINSTON SALEM, NC 27101-2582
(336) 355-8244
(336) 546-7630
Mailing address
1219 POLO RD, WINSTON SALEM, NC 27106-3913
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
20475A
NC
Other
Enumeration date
02/19/2025
Last updated
04/28/2025
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