Individual
MS. ELVIRA BAYLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MLIS, LCSW
Contact information
Practice address
975 W BLUE FOX RD, GREEN VALLEY, AZ 85614-5866
(541) 480-9388
Mailing address
975 W BLUE FOX RD, GREEN VALLEY, AZ 85614-5866
(541) 480-9388
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-17787
AZ
1041C0700X
Clinical Social Worker
LCSW-LIC-2368
MT
1041C0700X
Clinical Social Worker
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Other
Enumeration date
10/08/2009
Last updated
10/25/2021
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