Individual
JORDAN ALEXANDER BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9991
(800) 817-3807
Mailing address
826 N MARKET ST, FREDERICK, MD 21701-4609
(304) 741-0831
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00941014
WV
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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