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1013383538
THEODORE BAILEY
LOS ANGELES, CA
NPI
1013383538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801086864)
Enumeration Date
2015-08-19
Last Update Date
2015-08-19
Business Address
-- THEODORE BAILEY LMSW-clinical
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
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Mailing Address
-- THEODORE BAILEY LMSW-clinical
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
Copy
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