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Individual

MS. BARBARA JEAN FAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
230 ASHMUN ST, NEW HAVEN, CT 06511-3574
(203) 772-4228
(203) 776-1982
Mailing address
PO BOX 3302, NEW HAVEN, CT 06515-0402
(203) 777-4428
(203) 776-1982

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005736
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004257235
CT
Enumeration date
12/03/2008
Last updated
12/03/2008
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