Individual
PAIGE FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
822 S CLEARVIEW PKWY, HARAHAN, LA 70123-3401
(480) 200-5466
Mailing address
18086 BILLY BLVD, PRAIRIEVILLE, LA 70769-5663
(480) 200-5466
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1701033
—
LA
Enumeration date
02/25/2022
Last updated
04/23/2024
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