Individual
JOANNE L FALTZ BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
331 S MAIN ST, RICE LAKE, WI 54868-2253
(715) 236-8500
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1202-123
WI
1041C0700X
Clinical Social Worker
Primary
1202
WI
Other
Enumeration date
12/19/2006
Last updated
11/16/2018
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