TIMOTHY FAIRBANKS, LISW

Social Worker - Clinical

Active Individual
NPI: 1619693785

Practice Address

1290 JORDAN ST
North Liberty, IA 52317

Phone: (319) 249-0307

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No 081394 (IA)
Social Worker - Clinical 1041C0700X Yes 081394 (IA)

Frequently Asked Questions

NPI 1619693785 is the National Provider Identifier for TIMOTHY FAIRBANKS, LISW, a Social Worker - Clinical provider located in North Liberty, IA. This NPI was enumerated on October 19, 2022.
TIMOTHY FAIRBANKS, LISW practices at 1290 JORDAN ST, North Liberty, IA 52317.

Quick Facts

NPI
1619693785
Type
Individual
Enumerated
Oct 19, 2022
Last Updated
Oct 17, 2024

Nearby Providers