Individual
BAILEY LOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 HWY 55, PLYMOUTH, MN 55441-6300
(763) 412-0722
Mailing address
4328 UNITY AVE N, ROBBINSDALE, MN 55422-1209
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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