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General NPI Number Information
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NPI Number | 1073022489
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Entity Type | Individual
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Provider Name | WESTLEY BAILEY-GRAY LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/28/2017
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 4000 24TH ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1894
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Country | US
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Telephone | 806-725-0566
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Fax |
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Provider Business Mailing Address
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Address Line | 1703 AVENUE T
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City | LUBBOCK
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State | TX
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Zip | 79401-4619
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Country | US
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Telephone | 601-421-5999
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 111853
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 14522
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 17037
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License Number State | LA
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