Individual
BAILEY EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013144
—
OH
05
—
0435571
—
OH
Enumeration date
03/10/2021
Last updated
06/14/2023
Update your record
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