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Sherry Fuller

Speech-Language Pathologist, in Joliet, IL. Individual provider (NPI-1).

NPI number1982015384
StatusActive
Last updated in NPPESMay 19, 2014

Details

NPI
1982015384
Entity type
Individual (NPI-1)
Name
Sherry Fuller
Sex
Female
Sole proprietor
No
Enumeration date
May 19, 2014
Last updated
May 19, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,146011847ILYes

Practice location

2423 Glenwood Ave
Joliet, IL 60435-5483

Phone 815-725-9992 · Fax 815-725-9993

Mailing address

22424 Arquilla Dr
Richton Park, IL 60471-1537

Phone 708-321-0365

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