Individual
DANIELLE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4111 PINES RD UNIT 65, SHREVEPORT, LA 71119-7323
(318) 613-0147
Mailing address
4111 PINES RD UNIT 65, SHREVEPORT, LA 71119-7323
(318) 613-0147
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10610
LA
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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