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1639737471
LEAH MARIE FAIRBANK
SANTA ROSA, CA
NPI
1639737471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 113527)
Enumeration Date
2019-06-05
Last Update Date
2019-06-05
Business Address
LEAH MARIE FAIRBANK AMFT
534 B ST
SANTA ROSA, CA 95401-5211
Phone number: 707-579-0465
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Mailing Address
LEAH MARIE FAIRBANK AMFT
10 COURT LN
FAIRFAX, CA 94930-1602
Phone number: 646-895-2495
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