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Individual

HAILEY CELESTE BAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1350 S MULDROW ST, TISHOMINGO, OK 73460-3278
(580) 371-3776
Mailing address
1350 S MULDROW ST, TISHOMINGO, OK 73460-3278
(580) 371-3776

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/31/2012
Last updated
05/31/2012
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