Individual
KEVIN ANDREW CHADWICK-FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SSP
Contact information
Practice address
2411 PATHWAYS XING, BELLEVILLE, IL 62221-5885
(618) 355-4724
Mailing address
2411 PATHWAYS XING, BELLEVILLE, IL 62221-5885
(618) 355-4724
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2453617
IL
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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