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Individual

MR. ADOLPHUS FRED BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MHP

Contact information

Practice address
4009 EUFAULA AVE, MUSKOGEE, OK 74403-1132
(918) 682-2841
(918) 682-3359
Mailing address
2514 GIBSON ST, MUSKOGEE, OK 74403-2711
(918) 680-1133

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
11/21/2006
Last updated
07/08/2007
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