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Individual

MS. TRICIA B. BAYLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
73 S CENTRAL AVE, VALLEY STREAM, NY 11580-5402
(516) 872-9698
(516) 872-8758
Mailing address
73 S CENTRAL AVE, VALLEY STREAM, NY 11580-5402
(516) 872-9698
(516) 872-8758

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
071266-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00244817
NY
Enumeration date
08/19/2006
Last updated
07/08/2007
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