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Bailey C Marshall

NPI Registration Record

Provider / OrganizationNPIDate Certified
BAILEY C MARSHALL13266651912020-06-28
Entity TypeIndividual
Provider Name Bailey C Marshall MSW, LICSW
Practice Office Address90 WELLS AVE
NEWTON, MA US
Practice Office Telephone6179696130
Mailing Address85 STRATHMORE RD APT 45
BRIGHTON, MA 021357163 US
Business Telephone6109375674
HPT Codes
CodeLicense NoState
1041C0700X PRIMARY122662 MA
OPI Codes

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