Individual
ALLISON KATHLEEN BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
111 WARRIOR WAY, BELLEVILLE, IL 62221-5117
(618) 239-0000
Mailing address
111 WARRIOR WAY, BELLEVILLE, IL 62221-5117
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.015479
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146.015479
—
IL
Enumeration date
12/17/2021
Last updated
12/17/2021
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