Individual
BAILEY J WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 21ST AVE NW, SUITE A, MINOT, ND 58703-0816
(701) 839-8887
(701) 839-8990
Mailing address
1425 21ST AVE NW, SUITE A, MINOT, ND 58703-0816
(701) 839-8887
(701) 839-8990
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5091
ND
Other
Enumeration date
04/15/2013
Last updated
07/28/2015
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