Individual
HEATHER JO BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
530 9TH ST, FLORENCE, OR 97439-7388
(541) 997-7134
(541) 997-1336
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1412
(360) 729-3025
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-33914
ID
1041C0700X
Clinical Social Worker
Primary
L8135
OR
Other
Enumeration date
06/10/2014
Last updated
07/27/2020
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