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1285814970
CLEA MARIE FAIRAIZL
POPLAR BLUFF, MO
NPI
1285814970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2017011361)
Enumeration Date
2007-11-09
Last Update Date
2022-03-17
Business Address
CLEA MARIE FAIRAIZL LCSW
3001 WARRIOR LN
POPLAR BLUFF, MO 63901-8685
Phone number: 573-686-1200
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Mailing Address
CLEA MARIE FAIRAIZL LCSW
3001 WARRIOR LN
POPLAR BLUFF, MO 63901-8685
Phone number: 573-686-1200
Copy
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