Individual
MIA BAILEY JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(888) 714-1927
Mailing address
602 PROSPECT ST, INDIANAPOLIS, IN 46203-1847
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33013760A
IN
104100000X
Social Worker
Primary
99132824A
IN
Other
Enumeration date
09/16/2025
Last updated
04/13/2026
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