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Individual

MAXINE BAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1234 MASSACHUSETTS AVE NW APT 606, WASHINGTON, DC 20005-4542
(202) 615-3211
Mailing address
1234 MASSACHUSETTS AVE NW APT 606, WASHINGTON, DC 20005-4542
(202) 615-3211

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/13/2021
Last updated
09/13/2021
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