Individual
MRS. CATHERINE ANN FAIRFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34813 CRUM RD, MODESTO, IL 62667-7087
(217) 484-6300
Mailing address
34813 CRUM RD, MODESTO, IL 62667-7087
(217) 484-6300
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/26/2009
Last updated
12/08/2010
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