LIA NICOLE FULKS

CHICAGO, IL
NPI1689114506
Former NameLIA NICOLE MACKEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146.010857)
Enumeration Date2017-02-24
Last Update Date2017-02-24
Business Address
-- LIA NICOLE FULKS MA CCC-SLP
345 E SUPERIOR ST
CHICAGO, IL 60611-2654
Phone number: 312-238-1000
Mailing Address
-- LIA NICOLE FULKS MA CCC-SLP
3644 N DAMEN AVE UNIT 1
CHICAGO, IL 60618-4946
Phone number: 586-855-1025
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