Individual
ASHLEY MARIE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
201 S KNOXVILLE ST, PORTALES, NM 88130-6100
(575) 356-7015
Mailing address
201 S KNOXVILLE ST, PORTALES, NM 88130-6100
(575) 356-7015
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
X-12067
NM
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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