MRS. Jacqueline Fairbanks, CCC MS/L
NPI #1750047700 in Barrington, Illinois
Provider Information
- NPI Number
- 1750047700
- Entity Type
- Individual
- Name
- MRS. Jacqueline Fairbanks, CCC MS/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC MS/L
- Enumeration Date
- Nov 15, 2021
- Last Updated
- Jan 23, 2023
Practice Location
- Address
- 40 E DUNDEE RD
- City
- Barrington
- State
- Illinois
- ZIP Code
- 60010-5227
- Phone
- (224) 770-4339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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