Mr. Chad J Fairbanks
Mr. Chad J Fairbanks is a Social Worker in Logan, Utah. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
90 E 200 NLogan, UT 84321-4034
Phone: (435) 752-0750
Fax: (435) 752-7433
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1518257039 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 18, 2011 |
| Last updated in NPPES | April 18, 2011 |
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