Individual
MS. MARILYN ELIZABETH FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
164 PILLSBURY DR SE, 115 SHEVLIN HALL, MINNEAPOLIS, MN 55455-0279
(612) 624-3322
(612) 624-7586
Mailing address
164 PILLSBURY DR SE, 115 SHEVLIN HALL, MINNEAPOLIS, MN 55455-0279
(612) 624-3322
(612) 624-7586
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4618
MN
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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