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1760048268
MARIA FAIRBOURN
SHELBYVILLE, KY
NPI
1760048268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 252383)
Enumeration Date
2019-05-10
Last Update Date
2019-05-10
Business Address
MARIA FAIRBOURN LCSW
7012 BEAMTREE DR
SHELBYVILLE, KY 40065-6328
Phone number: 801-367-3538
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Mailing Address
MARIA FAIRBOURN LCSW
7012 BEAMTREE DR
SHELBYVILLE, KY 40065-6328
Phone number: 801-367-3538
Copy
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