SUSAN FAIRBANKS

AUSTIN, TX
NPI1518977545
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  S01639)
Enumeration Date2006-08-09
Last Update Date2007-07-08
Business Address
-- SUSAN FAIRBANKS LCSW
4131 SPICEWOOD SPRINGS RD SUITE D-3
AUSTIN, TX 78759-8661
Phone number: 512-502-0264
Mailing Address
-- SUSAN FAIRBANKS LCSW
4131 SPICEWOOD SPRINGS RD SUITE D-3
AUSTIN, TX 78759-8661
Phone number: 512-502-0264
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