Individual
MS. MICKI J FABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
1613 K AVE, LA GRANDE, OR 97850-2844
(541) 663-8801
Mailing address
1613 K AVE, LA GRANDE, OR 97850-2844
(541) 663-8801
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
74983
OR
Other
Enumeration date
02/18/2008
Last updated
11/12/2008
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