Individual
LUCY LEIGH BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 PINEY GROVE RD, COLUMBIA, SC 29210-4158
(803) 476-4756
Mailing address
120 PINEY GROVE RD, COLUMBIA, SC 29210-4158
(803) 476-4756
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1414
SC
103TS0200X
School Psychologist
193011
SC
Other
Enumeration date
04/15/2013
Last updated
06/13/2013
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