Individual
KELLY BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
130921
WI
1041C0700X
Clinical Social Worker
149.022732
IL
1041C0700X
Clinical Social Worker
CO13652
NC
Other
Enumeration date
02/20/2020
Last updated
01/30/2025
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