AMY ELIZABETH FAHNESTOCK

ALTON, IL
NPI1497271738
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146006061)
Enumeration Date2017-08-18
Last Update Date2017-08-18
Business Address
Mrs. AMY ELIZABETH FAHNESTOCK
2400 HENRY ST
ALTON, IL 62002-4446
Phone number: 618-463-2077
Mailing Address
Mrs. AMY ELIZABETH FAHNESTOCK
2400 HENRY ST
ALTON, IL 62002-4446
Phone number: 618-463-2077