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Individual

PAMELA NICOLE FAIRBROTHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSC-AD

Contact information

Practice address
2528 MOUNTAIN RD, PASADENA, MD 21122-7203
(443) 548-3733
(410) 360-1675
Mailing address
2528 MOUNTAIN RD, PASADENA, MD 21122-7203
(443) 548-3733
(410) 360-1675

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC2624
MD

Other

Enumeration date
07/09/2020
Last updated
03/22/2023
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