Individual
BAILEY KENDRICK PARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4343 SHALLOWFORD RD STE 410, MARIETTA, GA 30062-5067
(678) 384-4911
Mailing address
1311 ROCKING CHAIR CT, WOODSTOCK, GA 30188-2456
(229) 848-7738
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW011445
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2020
Last updated
08/22/2023
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