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1437468832
SUSAN G. FABRIKANT
COEUR D ALENE, ID
NPI
1437468832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW00005689)
Enumeration Date
2010-10-02
Last Update Date
2010-10-02
Business Address
-- SUSAN G. FABRIKANT M.S.W.
421 E COEUR DALENE AVE
COEUR D ALENE, ID 83814-1704
Phone number: 208-667-6606
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Mailing Address
-- SUSAN G. FABRIKANT M.S.W.
421 E COEUR DALENE AVE
COEUR D ALENE, ID 83814-1704
Phone number: 208-667-6606
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