Individual
MADELYN LORRAINE FAIREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5250 GIRON CIR, KISSIMMEE, FL 34758-2057
(407) 201-4061
Mailing address
7939 HORSE FERRY RD, ORLANDO, FL 32835-5974
(407) 450-6706
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI7074
FL
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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