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NPI Profile for TAMMI L BAILEY in MADISON, WV.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI Number | 1760255343 |
|
| Status | Active | |
| Credentials | PROVISIONALLY LPC | |
| Entity | Individual | |
| Enumeration date | 11/06/2023 | |
| Last updated | 04/21/2026 - About 1 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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TAMMI L BAILEY
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