Individual
ABBY QUINN LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1539 COUNTRY CLUB RD, FAIRMONT, WV 26554-1306
(304) 363-8479
Mailing address
1539 COUNTRY CLUB RD, FAIRMONT, WV 26554-1306
(304) 363-8479
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1432
WV
Other
Enumeration date
11/12/2012
Last updated
09/09/2013
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