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NPI Code Detail

MEDICARE: INEZ C BAILEY LSW

MEDICARE: INEZ C BAILEY LSW
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
1104100000XSocial WorkerS.0030980OH

General Provider Information

NPI Number : 1427411180
Entity Type Code : Individual
Provider Name (Legal Business Name) : INEZ C BAILEY LSW
Provider Business Mailing Address
First Line : PO BOX 396
Second Line :
City : SPRINGBORO
State : OH
Zip : 45066-0396
Country : US
Telephone Number : 513-584-7284
Fax Number :
Provider Business Practice Location Address
First Line : 615 ELSINORE PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1459
Country : US
Telephone Number : 513-225-1426
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2016
Last Update Date : 01/05/2024

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Directions to “ INEZ C BAILEY LSW” Practice Location

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