MARY C FAIRCHILD

ROCKFORD, IL
NPI1588771265
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149010948)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: IL  149.010948)
Enumeration Date2006-08-25
Last Update Date2019-09-23
Business Address
MARY C FAIRCHILD LCSW
6072 BRYNWOOD DR STE 201
ROCKFORD, IL 61114-5829
Phone number: 815-520-6676
Mailing Address
MARY C FAIRCHILD LCSW
2618 CERRO VISTA DR
ROCKFORD, IL 61107-1008
Phone number: 815-520-6676