Individual
COLLEEN BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 JACOB ST, SAINT JACOB, IL 62281-1549
(618) 644-2541
Mailing address
305 JACOB ST, SAINT JACOB, IL 62281-1549
(618) 644-2541
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14147302
IL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/05/2017
Last updated
08/20/2024
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