Provider Information for 1255916821
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TIFFANIE BAILEY LCSW
Sex: Female
NPI: 1255916821
Last Updated: 2024-08-14
Certification Date: 2024-08-14
Certification Date: 2024-08-14
Details
| Name | Value | ||||||||||||||||
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| NPI | 1255916821 | ||||||||||||||||
| Enumeration Date | 2021-03-15 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | PO BOX 556 VINCENNES, IN 47591-0556 United States Phone: 812-494-9501 | Fax:812-494-9502 | ||||||||||||||||
| Primary Practice Address | 515 BAYOU ST VINCENNES, IN 47591-1034 United States Phone: 812-886-6800 | Fax:812-886-6809 | ||||||||||||||||
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