Individual
MRS. SARAH B FISHBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1605 OLD EARNHARDT RD, KANNAPOLIS, NC 28083-8025
(704) 933-5305
Mailing address
906 WENTWORTH DR, KANNAPOLIS, NC 28081-5546
(704) 933-3505
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2309
NC
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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