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1063079911
DERRIKA ANGEL BAILEY
SHREVEPORT, LA
NPI
1063079911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 8374)
Enumeration Date
2019-05-28
Last Update Date
2023-10-12
Business Address
DERRIKA ANGEL BAILEY LCSW-BACS
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
DERRIKA ANGEL BAILEY LCSW-BACS
PO BOX 186
GIBSLAND, LA 71028-0186
Phone number:
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