Individual
DAWN MARIE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
27 TROVATO ST STE 103, BRIDGEPORT, WV 26330-7286
(304) 623-6300
Mailing address
11289 WV HIGHWAY 47 W, COXS MILLS, WV 26342-8208
(304) 365-7823
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CP00943855
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972055168
—
WV
Enumeration date
11/04/2016
Last updated
07/16/2019
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