Individual
GLENN PAUL BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
391 VARNUM AVE, LOWELL, MA 01854-2119
(978) 322-5120
Mailing address
PO BOX 1770, ANDOVER, MA 01810-0030
(978) 494-2394
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/03/2009
Last updated
07/03/2009
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