KIRSTIE FENCIK

QUINCY, IL
NPI1912496100
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146.012817)
Enumeration Date2018-05-03
Last Update Date2018-05-03
Business Address
KIRSTIE FENCIK
1440 N 10TH ST
QUINCY, IL 62301-1975
Phone number: 217-224-3780
Mailing Address
KIRSTIE FENCIK
PO BOX 504469
SAINT LOUIS, MO 63150-1975
Phone number: