Individual
BRIANA AMARIS FAIRFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 398-8080
Mailing address
502 LOUISIANA AVE, CHAMPAIGN, IL 61820-2529
(217) 722-1934
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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