Individual
DEBRA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12430 KELSEY ST, VICTORVILLE, CA 92392-7971
(760) 964-6224
Mailing address
12430 KELSEY ST, VICTORVILLE, CA 92392-7971
(760) 964-6224
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8861
CA
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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