Individual
JOHN BAILIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2319 PENNSYLVANIA AVE, PHILADELPHIA, PA 19130-3124
(917) 750-2331
Mailing address
2319 PENNSYLVANIA AVE, PHILADELPHIA, PA 19130-3124
(917) 750-2331
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW141975
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/07/2023
Last updated
10/23/2024
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