Individual
JAMESON CHARLES FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
283 GLENBROOK RD, STAMFORD, CT 06906-2516
(203) 856-7362
Mailing address
283 GLENBROOK RD, STAMFORD, CT 06906-2516
(203) 856-7362
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104642
NY
Other
Enumeration date
10/05/2018
Last updated
02/17/2025
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