Most Relevant Information
Provider Data
| NPI Number: | 1003383548 |
| Provider Name: | ANDREA BAILEY LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | S0500353 |
Most Important Dates
| Enumeration Date: | 11/01/2018 |
| Last Updated: | 11/01/2018 |
Provider Practice Location
165 E PARK AVE
NILES
OH
444462352
Practice Location Phone/Fax
| Phone: | 3305448005 |
| Fax: | 3305449379 |
Provider Mailing Location
3011 KIRKHAVEN DR
YOUNGSTOWN
OH
445111947
Provider Mailing Phone/Fax
| Phone: | 3307746229 |
| Fax: |