Richard Fairbanks, MSW
Social Worker, Clinical in Spokane, WA. Individual provider (NPI-1).
NPI number1346658366
StatusActive
Last updated in NPPESJul 23, 2014
Details
- NPI
- 1346658366
- Entity type
- Individual (NPI-1)
- Name
- Richard Fairbanks
- Credential
- MSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2014
- Last updated
- Jul 23, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LW00006192 | WA | Yes |
Practice location
322 W North River DrSpokane, WA 99201-3208
Phone 509-241-2111
Mailing address
322 W North River DrSpokane, WA 99201-3208
Phone 509-241-2111
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