Regina M Bauer

NPI #1063986214 in Breese, Illinois

Provider Information

NPI Number
1063986214
Entity Type
Individual
Name
Regina M Bauer
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jan 21, 2019
Last Updated
Jan 21, 2019

Practice Location

Address
989 N 5TH ST
City
Breese
ZIP Code
62230-1329
Phone
(618) 772-3522

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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