Individual
MRS. BAILEY J DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
600 S LOCUST ST, LENOX, IA 50851-1327
(641) 344-0410
Mailing address
1003 COTTONWOOD RD, CRESTON, IA 50801-1012
(641) 782-8457
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
086075
IA
1041C0700X
Clinical Social Worker
Primary
086075
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124537691
—
IA
Enumeration date
09/27/2017
Last updated
03/05/2023
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