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TIMOTHY FAIRBANKS, LISW
LISW
Clinical Social Worker
NPI: 1619693785IndividualAccepts Medicare
Specialties, Licenses & Credentials
Mental Health Counselor
Counselor — Mental Health
Code: 101YM0800X
081394(IA)
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
081394(IA)
CMS Specialties
PrimaryCLINICAL SOCIAL WORKER
Education
OTHER
Class of 2016
Contact & Hours
- Address
- 1290 JORDAN ST
NORTH LIBERTY, IA 52317 - Phone
- (319) 249-0307
Quick Facts
- NPI
- 1619693785
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 10
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