Individual
CALLIE LUELLA FUCHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1013 ADAMS ST, OTTAWA, IL 61350-4304
(815) 434-0857
Mailing address
1209 STATE ST, OTTAWA, IL 61350-4444
(815) 712-2622
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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