Individual
BAILEY ADIRA SEIDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2025 WASHINGTON ST, WAUKEGAN, IL 60085-5131
(262) 402-2644
Mailing address
4038 WASHINGTON RD APT 206, KENOSHA, WI 53144-1540
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
S3400610083904
WI
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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