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Teresa Bailey

Social Worker in Daytona Beach, FL. Individual provider (NPI-1).

NPI number1659005239
StatusActive
Last updated in NPPESOct 29, 2024

Details

NPI
1659005239
Entity type
Individual (NPI-1)
Name
Teresa Bailey
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 11, 2022
Certification date
Oct 29, 2024
Last updated
Oct 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes
252Y00000X Early Intervention Provider Agency––

Practice location

1673 Mason Ave Ste 100
Daytona Beach, FL 32117-5516

Phone 386-873-0365

Mailing address

1673 Mason Ave Ste 100
Daytona Beach, FL 32117-5516

Phone 386-873-0365

Other practice locations

14 Uniontin Ct Unit B
Palm Coast, FL 32164-5778

Phone 908-902-4251

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