Individual
MR. DWAYNE ANTHONY BAILEY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.D.C.A.
Contact information
Practice address
5209 EUCLID AVE, CLEVELAND, OH 44103-3703
(216) 881-0765
Mailing address
1642 HAYDEN AVE, E CLEVELAND, OH 44112-1806
(216) 308-7830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
161118
OH
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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