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Individual

JILL M BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
412 W 14TH AVE, HOLDREGE, NE 68949-1213
(308) 995-6585
Mailing address
1210 W 20TH ST, KEARNEY, NE 68845-5130
(620) 755-4983

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1746
NE
235Z00000X
Speech-Language Pathologist
2826
KS

Other

Enumeration date
05/30/2008
Last updated
10/14/2016
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