Individual
BAILEY JO STAAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N STATE HWY 11, CAIRO, NE 68824
(308) 485-4258
Mailing address
37998 295TH RD, RAVENNA, NE 68869-3034
(402) 469-9282
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2278
NE
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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