Individual
ABBY CHRISTINE FANCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
110 CARVER LN, EAST PEORIA, IL 61611-3052
(309) 282-6704
Mailing address
5 N 42ND RD, MENDOTA, IL 61342-9652
(815) 910-7591
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146015143
IL
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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