Most Relevant Information
Provider Data
| NPI Number: | 1003684309 |
| Provider Name: | SHENNELLE BAILEY |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/15/2023 |
| Last Updated: | 12/15/2023 |
Provider Practice Location
520 DUDLEY STREET ROXBURY
MA
MA
02119
Practice Location Phone/Fax
| Phone: | 6174456655 |
| Fax: |
Provider Mailing Location
520 DUDLEY STREET ROXBURY
MA
MA
02119
Provider Mailing Phone/Fax
| Phone: | 6174456655 |
| Fax: |