Individual
BAILEY MICHELE WETHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1297 CARR LAKE RD SW, BEMIDJI, MN 56601-8281
(651) 353-9260
Mailing address
1297 CARR LAKE RD SW, BEMIDJI, MN 56601-8281
(651) 353-9260
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
31791
MN
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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