Individual
DERRIKA ANGEL BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-BACS
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
PO BOX 186, GIBSLAND, LA 71028-0186
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8374
LA
Other
Enumeration date
05/28/2019
Last updated
10/12/2023
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