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PATRICIA M. FAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1060 WALDORF TERRACE, LAKEWOOD, NJ 08701-5546
(800) 275-3243
(800) 275-3671
Mailing address
1060 WALDORF TERRACE, LAKEWOOD, NJ 08701-5546
(800) 275-3243
(800) 275-3671

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
44SC01381700
NJ

Other

Enumeration date
08/06/2010
Last updated
08/06/2010
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