Annie Fair, M.S.W.
Social Worker, Clinical in Phoenix, AZ. Individual provider (NPI-1).
NPI number1982803714
StatusActive
Last updated in NPPESJul 12, 2007
Details
- NPI
- 1982803714
- Entity type
- Individual (NPI-1)
- Name
- Annie Fair
- Credential
- M.S.W.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 12, 2007
- Last updated
- Jul 12, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW-1518 | AZ | Yes |
Practice location
4212 N 16th StPhoenix, AZ 85016-5319
Phone 602-263-1200
Mailing address
4212 N 16th StPhoenix, AZ 85016-5319
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