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1164198826
SHAINA LYNN FAIRBANK
POLSON, MT
NPI
1164198826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MT 23636)
Enumeration Date
2021-08-20
Last Update Date
2021-08-20
Business Address
SHAINA LYNN FAIRBANK LCSW
2 6TH AVE E
POLSON, MT 59860-2726
Phone number: 406-303-3564
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Mailing Address
SHAINA LYNN FAIRBANK LCSW
PO BOX 181
POLSON, MT 59860-0181
Phone number: 406-303-3564
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