Individual
MRS. CHARLOTTE K FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1011 HONOR HEIGHTS DRIVE, MUSKOGEE, OK 74401
(918) 384-4547
Mailing address
607 NW 1ST ST, CHECOTAH, OK 74426-1603
(918) 429-8224
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1857
OK
104100000X
Social Worker
4092
OK
Other
Enumeration date
09/30/2008
Last updated
05/16/2024
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