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1518977545
SUSAN FAIRBANKS
AUSTIN, TX
NPI
1518977545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX S01639)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
-- SUSAN FAIRBANKS LCSW
4131 SPICEWOOD SPRINGS RD SUITE D-3
AUSTIN, TX 78759-8661
Phone number: 512-502-0264
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Mailing Address
-- SUSAN FAIRBANKS LCSW
4131 SPICEWOOD SPRINGS RD SUITE D-3
AUSTIN, TX 78759-8661
Phone number: 512-502-0264
Copy
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