DIANE FOURDYCE

EDWARDSVILLE, IL
NPI1841217692
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146.000125)
Enumeration Date2006-07-17
Last Update Date2007-07-08
Business Address
-- DIANE FOURDYCE
7316 JERUSALEM RD
EDWARDSVILLE, IL 62025-6418
Phone number: 618-656-4133
Mailing Address
-- DIANE FOURDYCE
7316 JERUSALEM RD
EDWARDSVILLE, IL 62025-6418
Phone number:
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