Individual
MS. BETTIS J BAILEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-9797
Mailing address
8 N GAWAIN WAY, HAMPTON, VA 23669-2889
(757) 722-9234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09040002072
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904002072
LCSW
VA
Enumeration date
01/30/2006
Last updated
07/08/2007
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