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Individual

MRS. AMY IRENE BAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BAECE, MASE

Contact information

Practice address
926 LAKE ST, LINCOLN, IL 62656-9139
(217) 750-2559
Mailing address
926 LAKE ST, LINCOLN, IL 62656-9139
(217) 750-2559

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
IL
222Q00000X
Developmental Therapist

Other

Enumeration date
12/09/2024
Last updated
12/09/2024
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