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
- City
- East Moline
- State
- Illinois
- ZIP Code
- 61244-4031
- Phone
- (309) 796-1251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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