JACQLIN FAIR

Case Manager/Care Coordinator

Active Individual
NPI: 1477092815

Practice Address

132 S WATER ST
SUITE 604
Decatur, IL 62523

Phone: (217) 423-6199

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1477092815 is the National Provider Identifier for JACQLIN FAIR, a Case Manager/Care Coordinator provider located in Decatur, IL. This NPI was enumerated on February 17, 2017.
JACQLIN FAIR practices at 132 S WATER ST, SUITE 604, Decatur, IL 62523.

Quick Facts

NPI
1477092815
Type
Individual
Enumerated
Feb 17, 2017
Last Updated
Feb 17, 2017

Nearby Providers