Individual
JAN CAMILLE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1575 N EAST SILVER LAKE RD, TRAVERSE CITY, MI 49685-8030
(231) 313-1503
Mailing address
1575 N EAST SILVER LAKE RD, TRAVERSE CITY, MI 49685-8030
(231) 313-1503
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801091840
MI
Other
Enumeration date
11/01/2014
Last updated
11/01/2014
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