Individual
MRS. KIMBERLY R. BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LCMFT
Contact information
Practice address
109 S MADISON ST STE C, RAYMORE, MO 64083-8816
(816) 456-5568
Mailing address
105 LIBBY LN, RAYMORE, MO 64083-9173
(816) 456-5568
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2011032276
MO
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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