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Individual
MR. STEVEN RICHARD FAIR
Active
Individual
MR. STEVEN RICHARD FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801069238
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0892947
BLUE CROSS BLUE SHIELD MI
MI
01
—
139863SW
CARE CHOICES HMO
MI
01
—
149663
VALUE OPTIONS
MI
01
—
235213000
MAGELLAN HEALTH SERVICES
MI
01
—
9817558
CIGNA BEHAVIORAL HEALTH
MI
01
—
SF069238
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
07/31/2006
Last updated
07/11/2019
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