Individual
MARY P FIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NBC-HWC
Contact information
Practice address
151 GENOA DR, SPRINGFIELD, IL 62703-5705
(503) 330-7931
Mailing address
151 GENOA DR, SPRINGFIELD, IL 62703-5705
(503) 330-7931
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
A-3369510
IL
171400000X
Health & Wellness Coach
Primary
A-3369510
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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