Individual
MRS. ANNETTE MARIE FAIRCHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP/L
Contact information
Practice address
902 N CHURCH ST, GIBSON CITY, IL 60936-1075
(217) 784-4278
Mailing address
307 N SANGAMON AVE, GIBSON CITY, IL 60936-1255
(217) 784-4278
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.010005
IL
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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