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Individual

TRACY JO BAUMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED

Contact information

Practice address
1467 TERRANCE DR, NAPERVILLE, IL 60565-4147
(630) 399-9018
(630) 787-0484
Mailing address
1467 TERRANCE DR, NAPERVILLE, IL 60565-4147
(630) 399-9018
(630) 787-0484

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
07/06/2011
Last updated
07/06/2011
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