Individual
KAARA FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 5TH AVE NE STE A, PUYALLUP, WA 98372-6782
(253) 447-8216
Mailing address
7908 N ASH LN, SPOKANE, WA 99208-5062
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60943465
WA
235Z00000X
Speech-Language Pathologist
TSLP8474
AZ
Other
Enumeration date
08/06/2013
Last updated
05/25/2023
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