TIMOTHY FAIRBANKS

NORTH LIBERTY, IA
NPI1619693785
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IA  081394)
Enumeration Date2022-10-19
Last Update Date2022-10-19
Business Address
TIMOTHY FAIRBANKS LMSW
1290 JORDAN ST
NORTH LIBERTY, IA 52317-8020
Phone number: 319-356-6352
Mailing Address
TIMOTHY FAIRBANKS LMSW
1372 PHOENIX DR
IOWA CITY, IA 52246-8703
Phone number: 402-520-2287
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