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Individual
KARL EUGENE FAIRMAN
Active
Individual
KARL EUGENE FAIRMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADTP REGISTERED
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R7339
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R7339
—
Other
Enumeration date
02/09/2019
Last updated
02/09/2019
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