Individual
BAYLEY MARIE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 W VINE ST, WESTFIELD, IL 62474-1015
(217) 690-3096
Mailing address
815 W VINE ST, WESTFIELD, IL 62474-1015
(217) 690-3096
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46004265A
IN
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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