Individual
MS. ANNE FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10 EVERETT CT, BLOOMINGTON, IL 61705-6557
(309) 622-1502
Mailing address
1900 E COLLEGE AVE STE A168, NORMAL, IL 61761-4507
(309) 622-1502
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.004685
IL
Other
Enumeration date
03/31/2016
Last updated
04/21/2023
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