Fawn Russell

NPI #1326538638 in East Moline, Illinois

Provider Information

NPI Number
1326538638
Entity Type
Individual
Name
Fawn Russell
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
May 11, 2018
Last Updated
Dec 31, 2020

Practice Location

Address
490 AVENUE OF THE CITIES
ZIP Code
61244-4031
Phone
(309) 796-1251

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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