Individual
COURTNEY DIANE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12628 HOOPER RD STE C, BATON ROUGE, LA 70818-3527
(225) 953-8170
(225) 953-8175
Mailing address
12628 HOOPER RD STE C, BATON ROUGE, LA 70818-3527
(225) 953-8170
(225) 953-8175
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/21/2017
Last updated
10/21/2017
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