Individual
MRS. JENNIFER L BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
824 HURON AVE, PORT HURON, MI 48060-3705
(810) 985-7380
Mailing address
824 HURON AVE, PORT HURON, MI 48060-3705
(810) 985-7380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801082747
MI
Other
Enumeration date
05/05/2009
Last updated
05/08/2009
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