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Individual

LINDA LEE BAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.DIV.

Contact information

Practice address
2451 NE KRESKY AVE, CHEHALIS, WA 98532-2436
(360) 827-2065
(360) 669-0524
Mailing address
PO BOX 956, CENTRALIA, WA 98531-0956
(360) 827-2065
(360) 669-0524

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF 60342675
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2043560
WA
Enumeration date
04/12/2011
Last updated
04/11/2017
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