Individual
MARLON LAMONT BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LCSW
Contact information
Practice address
2245 ROSA L PARKS BLVD UNIT 281862, NASHVILLE, TN 37228-1458
(512) 373-2705
Mailing address
PO BOX 281862, NASHVILLE, TN 37228-8509
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3920
TN
103TC0700X
Clinical Psychologist
Primary
3920
TN
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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