Individual
MRS. JANINE GULLICK BRIDENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
125 HUNTWOOD RD, SWANSEA, IL 62226-1923
(618) 277-2100
Mailing address
125 HUNTWOOD RD, SWANSEA, IL 62226-1923
(618) 277-2100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146002306
IL
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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