Individual
BAILEY ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
19611 E 8 MILE RD, SAINT CLAIR SHORES, MI 48080-1655
(586) 541-9550
Mailing address
3019 TRAPPERS COVE TRL APT 2B, LANSING, MI 48910-8509
(616) 755-6209
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851114998
MI
251S00000X
Community/Behavioral Health Agency
1447981477
NC
Other
Enumeration date
11/15/2022
Last updated
05/08/2024
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