Individual
AMY LAURA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
990 GROVE ST, 405, EVANSTON, IL 60201-6510
(847) 877-9305
Mailing address
990 GROVE ST, 405, EVANSTON, IL 60201-6510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.006156
IL
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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