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Individual

MR. DAVID FAIRCHILD II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
120 STEVENS ST SW, GRAND RAPIDS, MI 49507-1526
(248) 622-1595
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(989) 798-3136

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/04/2016
Last updated
09/17/2021
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