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Individual

ANTWON BAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 HAZEL PATH LEXINGTON, SUITE D, HENDERSONVILLE, TN 37075
(615) 870-2241
Mailing address
100 HAZEL PATH LEXINGTON BLDG, SUITE D, HENDERSONVILLE, TN 37075
(615) 870-2241

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1186
TN
101YA0400X
Addiction (Substance Use Disorder) Counselor
32490
IL

Other

Enumeration date
12/30/2015
Last updated
12/30/2015
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