Dana Fairbrother MS

NPI 1194039909 - Counselor - 101Y00000X

NPI Details
NPI 1194039909
Gender Female
Enumeration Date 08/04/2010
Last Updated 08/04/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
900 7TH ST
CLARKSTON WA, 99403-2005, US
Phone (509) 758-3341
Fax (509) 769-6057
Business Location
900 7TH ST
CLARKSTON WA, 99403-2005, US
Phone (509) 758-3341
Fax (509) 769-6057
Toxanomy
Taxonomy Code 101Y00000X
License State Washington
License Number CG60150896
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According to our database, Dana Fairbrother MS NPI is 1194039909, taxonomy code is 101Y00000X and license number is CG60150896, license state is located at Washington. Dana Fairbrother MS physically located at 900 7th St, Clarkston WA, 99403-2005. NPI Number Dana Fairbrother MS has the Individual type.

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1194039909 NPI number is provided on an as is basis without warranty of any kind. 1194039909 is maintained by the National Plan & Provider Enumeration System. The contents of Dana Fairbrother MS are for informational purposes only.