Individual
LAURA FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 W VIRGINIA ST, EVANSVILLE, IN 47710-1742
(812) 464-7816
(812) 464-7811
Mailing address
PO BOX 3938, EVANSVILLE, IN 47737-3938
(812) 464-7816
(812) 464-7811
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
IN
Other
Enumeration date
01/24/2007
Last updated
07/09/2007
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