Individual
BAILEY PATENAUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14400 CO HWY B, SPARTA, WI 54656
(608) 269-8825
Mailing address
W14723 GREEN ACRES RD, HIXTON, WI 54635-8350
(715) 661-0838
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6023-154
WI
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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