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Individual

MRS. SHERRI MAE FAIRCHILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M. ED.

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
172220
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100686560A
OK
Enumeration date
12/23/2015
Last updated
12/23/2015
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