MR. Russell Teal Bailiff, LCSW

NPI #1831267699 in Lindale, Texas

Provider Information

NPI Number
1831267699
Entity Type
Individual
Name
MR. Russell Teal Bailiff, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Dec 1, 2006
Last Updated
May 25, 2016

Practice Location

Address
716 LINUS LN
State
Texas
ZIP Code
75771-6626
Phone
(903) 312-7246

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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