Individual
SUSAN G. FABRIKANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
421 E COEUR DALENE AVE, COEUR D ALENE, ID 83814-1704
(208) 667-6606
Mailing address
421 E COEUR DALENE AVE, COEUR D ALENE, ID 83814-1704
(208) 667-6606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005689
WA
Other
Enumeration date
10/02/2010
Last updated
10/02/2010
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