KELLY BAULT

Developmental Therapist

NPI: 1467749085Individual

Specialties, Licenses & Credentials

Developmental TherapistPrimary

Developmental Therapist

Code: 222Q00000X

Contact & Hours

Address: 1800 OLD WEST MAIN ST APT 204
CARBONDALE, IL 62901
Phone: (815) 343-2776

Quick Facts

NPI: 1467749085
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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