Individual
MRS. MARIAH C BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 GALLIA ST, PORTSMOUTH, OH 45662-4161
(740) 981-3176
Mailing address
1112 GALLIA ST, PORTSMOUTH, OH 45662-4161
(740) 981-3176
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-18-33302
OH
103T00000X
Psychologist
Primary
OH3107958
OH
Other
Enumeration date
08/15/2014
Last updated
08/15/2023
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