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Individual

XAVIER BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2607 WOODRUFF RD STE E1132, SIMPSONVILLE, SC 29681-4803
(864) 209-1313
Mailing address
2607 WOODRUFF RD STE E1132, SIMPSONVILLE, SC 29681-4803
(864) 209-1313

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1041C0700X
Clinical Social Worker
11849
SC
1041C0700X
Clinical Social Worker
Primary
16580
SC
1041C0700X
Clinical Social Worker
TPSW3939
FL

Other

Enumeration date
03/15/2017
Last updated
11/27/2024
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