Individual
AMANDA JANE FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
384 E 60 S, AMERICAN FORK, UT 84003-3835
(801) 901-0279
Mailing address
5767 W YORKSHIRE CT, HIGHLAND, UT 84003-3924
(801) 616-6322
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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