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Mrs. Ilene Ellen Fabisch, IBCLC
Specialist in Brockton, Massachusetts
NPI 1649505058

Ilene Ellen Fabisch is a Specialist based in Brockton, MA. Ilene Ellen Fabisch practices in Brockton, MA and has the professional credentials of IBCLC. The NPI Number for Ilene Ellen Fabisch is 1649505058 and holds a License No. (Massachusetts).

The current practice location address for Ilene Ellen Fabisch is 664 Pearl St, Brockton, MA and can be reached out via phone at 617-759-7542.

Location: 664 Pearl St, Brockton, MA, 02301-4527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649505058
Provider Name
Ilene Ellen Fabisch
Credential
IBCLC
Provider Entity Type
Individual
Gender
Female
Address
664 Pearl St, Brockton, MA, 02301-4527
Phone Number
617-759-7542
Fax Number
Provider Enumeration Date
10/03/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
664 Pearl St
City
Brockton
State
Massachusetts
Zip
02301-4527
Phone Number
617-759-7542
Fax Number
person
Provider Business Mailing Address Details
Address
664 Pearl St
City
Brockton
State
Massachusetts
Zip
02301-4527
Phone Number
617-759-7542
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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