Individual
BAILEY SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8294 CASTLE RIDGE DR, TROY, IL 62294-2860
(618) 367-1272
Mailing address
8294 CASTLE RIDGE DR, TROY, IL 62294-2860
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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