| NPI | 1821438706 |
|---|---|
| Former Name | STACEY A BAILEY-JORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-44072) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-31630) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2024-09-30 |