Individual
BAILEE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-2323
Mailing address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-2323
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/01/2022
Last updated
02/13/2023
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