Individual
ALIVIA BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23001 BUCKINGHAM, STE GENEVIEVE, MO 63670-8692
(573) 984-9877
Mailing address
21489 SIEBERT RD, STE GENEVIEVE, MO 63670-8751
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2023033317
MO
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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