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1497939862
TRAVIS LEE BAILEY
AUBURN, CA
NPI
1497939862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A01990315)
Enumeration Date
2007-12-20
Last Update Date
2019-12-17
Business Address
TRAVIS LEE BAILEY CADC-II, ICADC
12125 SHALE RIDGE LN
AUBURN, CA 95602-8880
Phone number: 530-855-1917
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Mailing Address
TRAVIS LEE BAILEY CADC-II, ICADC
12125 SHALE RIDGE LN
AUBURN, CA 95602-8880
Phone number: 530-855-1917
Copy
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