Individual
ALEXIS BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 ELLINGTON AVE, THOMSON, GA 30824-1620
(706) 361-2002
Mailing address
301 ELLINGTON AVE, THOMSON, GA 30824-1620
(706) 361-2002
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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