Individual
ABIGAIL ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
634 N MAIN ST STE 3, O FALLON, IL 62269-3746
(618) 632-4222
Mailing address
634 N MAIN ST STE 3, O FALLON, IL 62269-3746
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242018401
IL
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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