Individual
NICOLE M BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3720 CHAMBLEE DUNWOODY RD, CHAMBLEE, GA 30341-2064
(404) 468-2274
Mailing address
2984 VINING RIDGE LN, DECATUR, GA 30034-7504
(404) 468-2274
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004816
GA
Other
Enumeration date
05/28/2018
Last updated
05/28/2018
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