Individual
BAILEY NICOLE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 COLFAX DR, DANVILLE, IL 61832-3325
(217) 444-3271
Mailing address
1612 KING ST, DANVILLE, IL 61832-8154
(217) 493-5426
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012383
IL
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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