Individual
ALICIA ELLEN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
123 ANDOVER RD, WESTBROOK, ME 04092-3850
(207) 661-6214
Mailing address
123 ANDOVER RD, WESTBROOK, ME 04092-3850
(207) 661-6214
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
OT4169
ME
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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