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1376093740
STEPHANIE NICOLE FAHEY
SPRINGFIELD, IL
NPI
1376093740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146.011697)
Enumeration Date
2016-10-10
Last Update Date
2016-10-10
Business Address
-- STEPHANIE NICOLE FAHEY M.S. CCC-SLP
5220 S 6TH STREET RD SUITE 1700 (NOLL MEDICAL PAVILLION, THE AUTISM CLINIC)
SPRINGFIELD, IL 62703-5735
Phone number: 217-525-8332
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Mailing Address
-- STEPHANIE NICOLE FAHEY M.S. CCC-SLP
5220 S 6TH STREET RD SUITE 1700 (NOLL MEDICAL PAVILLION, THE AUTISM CLINIC)
SPRINGFIELD, IL 62703-5735
Phone number: 217-525-8332
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