Individual
JOANNE D FAIRFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1401 EAST 1ST STREET, DULUTH, MN 55805
(218) 728-4491
(218) 728-4404
Mailing address
1401 EAST 1ST STREET, DULUTH, MN 55805
(218) 728-4491
(218) 728-4404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15970
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
480038900
—
MN
Enumeration date
10/03/2006
Last updated
09/15/2014
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