CLEA MARIE FAIRAIZL

POPLAR BLUFF, MO
NPI1285814970
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2017011361)
Enumeration Date2007-11-09
Last Update Date2022-03-17
Business Address
CLEA MARIE FAIRAIZL LCSW
3001 WARRIOR LN
POPLAR BLUFF, MO 63901-8685
Phone number: 573-686-1200
Mailing Address
CLEA MARIE FAIRAIZL LCSW
3001 WARRIOR LN
POPLAR BLUFF, MO 63901-8685
Phone number: 573-686-1200