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Individual

MARCI FAWVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS/CCC-SLP

Contact information

Practice address
1520 BAXTER AVE, LOUISVILLE, KY 40205-1096
(502) 896-8147
Mailing address
1520 BAXTER AVE, LOUISVILLE, KY 40205-1096
(502) 896-8147

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2053
KY

Other

Enumeration date
01/27/2015
Last updated
04/30/2019
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