Individual
TRACY BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
318 W 11TH AVE, MITCHELL, SD 57301-1310
(605) 630-8404
Mailing address
318 W 11TH AVE, MITCHELL, SD 57301-1310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20576
SD
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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