Individual
BAILEY A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 5TH AVE, BELVIDERE, IL 61008-5125
(815) 544-0301
Mailing address
1201 5TH AVE, BELVIDERE, IL 61008-5125
(815) 544-0301
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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