Individual
GABRIELLE OLIVIA FAIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042-6106
(410) 313-6600
Mailing address
4634 SMOKEY WREATH WAY, ELLICOTT CITY, MD 21042-5945
(413) 386-4568
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
02/26/2026
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