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

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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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