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Individual

BAILEY A BALLOUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
120 E OGDEN AVE STE 220, HINSDALE, IL 60521-3546
(630) 325-5300
Mailing address
310 SUTHERLAND LN, BLOOMINGDALE, IL 60108-1938
(817) 676-6844

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
06/02/2021
Last updated
06/02/2021
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