Individual
SAMANTHA MARIE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
690 E WARNER RD STE 115, GILBERT, AZ 85296-3056
(480) 444-2434
Mailing address
1626 W 6TH ST, MESA, AZ 85201-4502
(480) 737-9107
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
AZ
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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