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Individual

BAILEY J DEBUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
402 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703-7536
(573) 334-1100
(573) 651-4345
Mailing address
402 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703-7536
(573) 334-1100
(573) 651-4345

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2021015936
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
490064809
MO
Enumeration date
12/20/2018
Last updated
09/23/2021
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