Individual
BAILEY CAROLINE AMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 N MICHIGAN AVE, CHICAGO, IL 60602-3402
(312) 725-3093
Mailing address
2516 W MEDILL AVE APT 1, CHICAGO, IL 60647-5174
(918) 230-5189
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/09/2021
Last updated
08/25/2021
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