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Individual

KELLY BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
540 E GRAND AVE, BELOIT, WI 53511-6314
(608) 368-8087
(608) 312-2061
Mailing address
2135 CANDI LN, BELOIT, WI 53511-7025
(608) 295-4539

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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