Individual
KATHERINE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15370 LEVAN RD STE 2, LIVONIA, MI 48154-1903
(734) 744-0170
Mailing address
15370 LEVAN RD STE 2, LIVONIA, MI 48154-1903
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801088093
MI
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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