ROBERT FAIRBANKS, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1164702445
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | No | - |
| Social Worker | 104100000X | No | 56012843502 (UT) |
| Social Worker - Clinical | 1041C0700X | Yes | 5601284-3501 (UT) |
Frequently Asked Questions
NPI 1164702445 is the National Provider Identifier for ROBERT FAIRBANKS, LCSW, a Social Worker - Clinical provider located in Lindon, UT. This NPI was enumerated on August 18, 2011.
ROBERT FAIRBANKS, LCSW practices at 200 N ANDERSON LN, Lindon, UT 84042.
Quick Facts
- NPI
- 1164702445
- Type
- Individual
- Enumerated
- Aug 18, 2011
- Last Updated
- Jun 17, 2015
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