STEPHANIE FAWBUSH

LOUISVILLE, KY
NPI1467889840
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164007358)
Enumeration Date2013-10-01
Last Update Date2018-05-24
Business Address
-- STEPHANIE FAWBUSH
250 E LIBERTY ST 803
LOUISVILLE, KY 40202-1530
Phone number: 502-587-4576
Mailing Address
-- STEPHANIE FAWBUSH
850 W IRVING PARK RD
CHICAGO, IL 60613-3077
Phone number: 773-975-6775