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1992977383
JENNIFER FAIRBOURN
MIDVALE, UT
NPI
1992977383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 7007405-3902)
Enumeration Date
2008-03-26
Last Update Date
2016-02-09
Business Address
Ms. JENNIFER FAIRBOURN MS, LMFT
7321 S STATE ST SUITE A
MIDVALE, UT 84047-2055
Phone number: 801-878-4327
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Mailing Address
Ms. JENNIFER FAIRBOURN MS, LMFT
7321 S STATE ST SUITE A
MIDVALE, UT 84047-2055
Phone number: 801-878-4327
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