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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY C. FAIRCHILD, LCSW, LLC

Active Organization

MARY C. FAIRCHILD, LCSW, LLC is a Clinical Social Worker organization located in ROCKFORD, Illinois. NPI 1629463641 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · ROCKFORD, IL

Registration Details

NPI Number
1629463641
Provider Type
Organization
NPI Issued
Apr 6, 2015 (11.375730184397 yrs)
Last Updated
Apr 8, 2015
License
149.010948 (IL)

Practice Information

Address
5301 E STATE ST STE 202
ROCKFORD, IL, 611082392
Browse IL providers · Browse ZIP 61108
Phone
8155206676
Fax
8667249612
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.