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Individual

AMANDA MARIE BAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
501 N MUSTANG RD STE F3, MUSTANG, OK 73064-7008
(405) 595-6585
Mailing address
509 DESERT TRL, YUKON, OK 73099-6835
(405) 595-6585

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
04/24/2020
Last updated
02/10/2023
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