Individual
VIVIAN FAYE SKELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDS
Contact information
Practice address
7704 DEERPATH RD, CHARLESTON, IL 61920-8735
(217) 508-7171
Mailing address
26 KICKAPOO VALLEY DR, CHARLESTON, IL 61920-8086
(217) 821-1752
(217) 345-0910
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
07/15/2016
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