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1003217894
IESHAI TAWANDA BAILEY
FORT LAUDERDALE, FL
NPI
1003217894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH14483)
Enumeration Date
2014-09-11
Last Update Date
2023-05-07
Business Address
Dr. IESHAI TAWANDA BAILEY PHD, CMHC, LMHC, CST
401 NW 16TH AVENUE N
FORT LAUDERDALE, FL 33311-6250
Phone number: 904-738-3506
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Mailing Address
Dr. IESHAI TAWANDA BAILEY PHD, CMHC, LMHC, CST
114 LAKE EMERALD DR APT 405
OAKLAND PARK, FL 33309-6250
Phone number: 754-200-1463
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