Individual
KRISTEN L BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1637 E SWAN CIR, SAINT LOUIS, MO 63144-1114
(314) 420-5082
Mailing address
1637 E SWAN CIR, SAINT LOUIS, MO 63144-1114
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12052101
MO
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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