Organization
FAIR CLINICAL SERVICES, LLC
Active
Other names
The Ironwood Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE A. FAIR DR (CEO)
(419) 740-3052
Entity
Organization
Contact information
Practice address
2211 RIVER RD, MAUMEE, OH 43537-3637
(419) 740-3052
(419) 893-0475
Mailing address
2211 RIVER RD, MAUMEE, OH 43537-3637
(419) 740-3052
(419) 893-0475
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0346995
—
OH
Enumeration date
12/22/2018
Last updated
02/10/2023
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