Individual
MRS. GLENDA LEE BAYLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
203A DEAN AVE, SPARTA, IL 62286-2301
(618) 443-5303
Mailing address
203A DEAN AVE, SPARTA, IL 62286-2301
(618) 443-5303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
623791
IL
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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