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Individual

ASHLEY BAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LGSW

Contact information

Practice address
5622 34TH AVE S, FARGO, ND 58104-7879
(701) 237-0942
Mailing address
5622 34TH AVE S, FARGO, ND 58104-7879

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
30578
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30578
LGSW
MN
Enumeration date
09/22/2022
Last updated
09/22/2022
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