Individual
MS. JILL KATHLEEN FAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
600 LINCOLN AVE, CHARLESTON, IL 61920-3099
(217) 581-2712
Mailing address
303 LOCUST ST, MARSHALL, IL 62441-1159
(217) 232-1966
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146004079
IL
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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