SAMANTHA JULIET SOPHIEA-FAIRMONT

WILMETTE, IL
NPI1619587128
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  242.005472)
Enumeration Date2020-08-10
Last Update Date2020-08-10
Business Address
SAMANTHA JULIET SOPHIEA-FAIRMONT MS, CCC-SLP
400 LINDEN AVE STE 11
WILMETTE, IL 60091-3607
Phone number: 517-927-0202
Mailing Address
SAMANTHA JULIET SOPHIEA-FAIRMONT MS, CCC-SLP
202 W HILL ST APT 810
CHICAGO, IL 60610-2535
Phone number: 517-927-0202