Individual
MRS. CHACEY LYNEE' FADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 CLEVELAND, PARIS, MO 65275
(660) 289-0980
Mailing address
7790 N CHESLEY DR, COLUMBIA, MO 65202-9660
(573) 228-1489
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
01/31/2024
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