Organization
MELANIE M BAILEY LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE M BAILEY LCSW (OWNER)
(405) 701-5666
Entity
Organization
Contact information
Practice address
520 24TH AVE SW, NORMAN, OK 73069-5106
(405) 701-5666
(405) 701-5667
Mailing address
520 24TH AVE SW, NORMAN, OK 73069-5106
(405) 701-5666
(405) 701-5667
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
220
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100715380A
—
OK
05
—
100715380D
—
OK
Enumeration date
12/29/2007
Last updated
03/17/2012
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