Individual
BAILEY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6719 COUNTY ROAD 32, CANANDAIGUA, NY 14424-9389
(315) 725-8702
Mailing address
31 THURBER DR, WATERLOO, NY 13165-1665
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107947
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2019
Last updated
10/22/2020
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