Individual
PATRICK S BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
S.W.
Contact information
Practice address
64 ECLIPSE CTR, BELOIT, WI 53511-3550
(608) 363-6200
Mailing address
64 ECLIPSE CTR, BELOIT, WI 53511-3550
(608) 363-6200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3558-120
WI
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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