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Individual

ALCIANIECE T BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
1454 W 94TH PL, LOS ANGELES, CA 90047-3905
(310) 227-4440
Mailing address
1454 W 94TH PL, LOS ANGELES, CA 90047-3905
(310) 227-4440

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/06/2012
Last updated
03/06/2012
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