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1639478738
MALINDA RAE FAIRBANKS
SHERIDAN, WY
NPI
1639478738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY LCSW 723)
Enumeration Date
2011-03-15
Last Update Date
2011-03-15
Business Address
Mrs. MALINDA RAE FAIRBANKS MSW, LCSW
1898 FORT RD
SHERIDAN, WY 82801-8320
Phone number: 307-675-3938
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Mailing Address
Mrs. MALINDA RAE FAIRBANKS MSW, LCSW
1205 LAUREL CT
SHERIDAN, WY 82801-6707
Phone number: 307-761-2442
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