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1013267756
INDY MARIE FAIRBANKS
DERBY, KS
NPI
1013267756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KS 6309)
Enumeration Date
2012-09-10
Last Update Date
2023-01-31
Business Address
INDY MARIE FAIRBANKS
1221 N ROCK RD STE 100
DERBY, KS 67037-3675
Phone number: 316-789-8511
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Mailing Address
INDY MARIE FAIRBANKS
215 E 9TH AVE
BELLE PLAINE, KS 67013-8823
Phone number: 316-633-3262
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