Individual
CONNIE FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
314 BARRETT LAKE DR, SWANSEA, IL 62226-1118
(618) 233-3948
Mailing address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(618) 580-9391
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/07/2019
Last updated
09/07/2019
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