Individual
BERNITA LASHELL BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4720 WOODMERE BLVD, MONTGOMERY, AL 36106-3065
(334) 676-6773
Mailing address
1207 BISCAYNE DR, MONTGOMERY, AL 36116-2813
(334) 201-6268
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4997G
AL
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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