Individual
JORDAN R. BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT-BC
Contact information
Practice address
6117 BIANCA CIR APT 284, FORT WORTH, TX 76132-2898
(120) 586-1547
Mailing address
6117 BIANCA CIR APT 284, FORT WORTH, TX 76132-2898
(120) 586-1547
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
13693
TX
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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