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NPI Code Detail

MEDICARE: MARY BAYLIE

MEDICARE: MARY BAYLIE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041S0200XSchool Social Worker
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1194671313
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY BAYLIE
Provider Business Mailing Address
First Line : 1555 MILWAUKEE WAY APT 305
Second Line :
City : MISSOULA
State : MT
Zip : 59801-3017
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1555 MILWAUKEE WAY APT 305
Second Line :
City : MISSOULA
State : MT
Zip : 59801-3017
Country : US
Telephone Number : 303-718-3486
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ MARY BAYLIE ” Practice Location

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