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1710192653
VIVIAN FAYE SKELLEY
CHARLESTON, IL
NPI
1710192653
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Former Name
VIVIAN FAYE WINCHESTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2007-05-14
Last Update Date
2016-07-15
Business Address
-- VIVIAN FAYE SKELLEY CDS
7704 DEERPATH RD
CHARLESTON, IL 61920-8735
Phone number: 217-508-7171
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Mailing Address
-- VIVIAN FAYE SKELLEY CDS
26 KICKAPOO VALLEY DR
CHARLESTON, IL 61920-8086
Phone number: 217-821-1752
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