Individual
HEATHER MELISSA LEAF BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
599 SW INDIAN KEY DR, PORT ST LUCIE, FL 34986-2053
(772) 475-0196
Mailing address
599 SW INDIAN KEY DR, PORT ST LUCIE, FL 34986-2053
(772) 475-0196
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/31/2012
Last updated
05/19/2020
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