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1295105005
BAILEY R MACHUCA
MATTHEWS, NC
NPI
1295105005
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Former Name
BAILEY BENNETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A11495)
Enumeration Date
2015-10-06
Last Update Date
2015-10-06
Business Address
-- BAILEY R MACHUCA LPCA
10801 MONROE RD SUITE A
MATTHEWS, NC 28105-8335
Phone number: 704-237-4240
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Mailing Address
-- BAILEY R MACHUCA LPCA
10801 MONROE RD SUITE A
MATTHEWS, NC 28105-8335
Phone number: 704-237-4240
Copy
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