Individual
MRS. ERIN MARLENE FABISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2404 E EMPIRE ST, BLOOMINGTON, IL 61704-3630
(309) 662-7872
Mailing address
1923 MARINA DR, NORMAL, IL 61761-9356
(815) 228-4997
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.009297
IL
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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