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1699914606
COLLEEN MARIE FAIRBANKS
LOMBARD, IL
NPI
1699914606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071.007621)
Enumeration Date
2009-02-13
Last Update Date
2015-10-30
Business Address
Dr. COLLEEN MARIE FAIRBANKS Ph.D.
9 N MAIN ST 11
LOMBARD, IL 60148-2300
Phone number: 630-903-3854
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Mailing Address
Dr. COLLEEN MARIE FAIRBANKS Ph.D.
9 N MAIN ST 11
LOMBARD, IL 60148-2300
Phone number: 630-903-3854
Copy
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