Individual
BAILEE CAROLINE GIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
212 DOTHAN RD, ABBEVILLE, AL 36310-2800
(334) 585-2241
Mailing address
220 MAGNOLIA RIDGE PL APT 200, DOTHAN, AL 36303-7416
(256) 710-1277
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
212025
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212025
ABESPA
AL
Enumeration date
08/25/2021
Last updated
08/25/2021
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