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Organization
KALEY FAIRBAIRN LLC
Active
Organization
KALEY FAIRBAIRN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALEY FAIRBAIRN LMSW (OWNER)
(616) 540-6010
Entity
Organization
Contact information
Practice address
1960 RUPERT ST NE, GRAND RAPIDS, MI 49525-2861
(616) 540-6010
Mailing address
1960 RUPERT ST NE, GRAND RAPIDS, MI 49525-2861
(616) 540-6010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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