Individual
GREGORY ALLEN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
821 E WYNNEWOOD AVE, SULPHUR, OK 73086-4072
(580) 235-5305
Mailing address
PO BOX 5, SULPHUR, OK 73086-0005
(580) 235-5305
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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