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1184082109
JEREMY DAVID BAILEY
SANTA ROSA, CA
NPI
1184082109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 102807)
Enumeration Date
2016-02-04
Last Update Date
2021-11-29
Business Address
Mr. JEREMY DAVID BAILEY LCSW
120 D ST
SANTA ROSA, CA 95404-4732
Phone number: 707-360-0977
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Mailing Address
Mr. JEREMY DAVID BAILEY LCSW
781 HOEN CT
SANTA ROSA, CA 95405-6720
Phone number: 415-336-8935
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