Individual
MRS. TRICIA ANN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
270 REGENT LN, GOREVILLE, IL 62939-1913
(618) 995-9817
Mailing address
270 REGENT LN, GOREVILLE, IL 62939-1913
(618) 995-9817
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
10/16/2010
Last updated
10/16/2010
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