Individual
SHERYL RUTH FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4800 MEMORIAL DR, WACO, TX 76711-1329
(254) 297-3542
Mailing address
6720 AMERICAN PLZ APT 2, WACO, TX 76712-4104
(214) 502-1715
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34542
TX
106H00000X
Marriage & Family Therapist
1210
TX
Other
Enumeration date
11/26/2007
Last updated
01/06/2011
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