Individual
JENNIFER BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 LITTLE KESWICK LN, KESWICK, VA 22947-2406
(434) 295-0427
Mailing address
PO BOX 24, KESWICK, VA 22947-0024
(434) 295-0457
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009142
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904009142
BOARD OF SOCIAL WORK
VA
Enumeration date
04/12/2018
Last updated
04/12/2018
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