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1215527577
JOHNNY NELSON BAILEY
WATERTOWN, NY
NPI
1215527577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 095447)
Enumeration Date
2021-01-21
Last Update Date
2021-01-21
Business Address
JOHNNY NELSON BAILEY LMSW
595 W MAIN ST
WATERTOWN, NY 13601-1335
Phone number: 315-788-1530
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Mailing Address
JOHNNY NELSON BAILEY LMSW
595 W MAIN ST
WATERTOWN, NY 13601-1335
Phone number: 315-788-1530
Copy
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