Individual
BAYLEY YOUNG MALICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 SHADY LANE DR, NORWALK, OH 44857-2710
(567) 743-7199
Mailing address
2240 S STATE ROUTE 19, GREEN SPRINGS, OH 44836-9629
(812) 870-0889
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2304939
OH
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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