Individual
SHARON MARIE FARWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1540 S LOGAN ST, MISHAWAKA, IN 46544-4739
(574) 257-8629
Mailing address
1128 WALLINGFORD CT, MISHAWAKA, IN 46544-1400
(574) 286-6420
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002123A
IN
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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