Individual
KRISTEN FAIRBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2315 BIRCH ST, BELLINGHAM, WA 98229-4527
(970) 773-5045
Mailing address
2315 BIRCH ST, BELLINGHAM, WA 98229-4527
(425) 387-8531
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
60745909
WA
1041C0700X
Clinical Social Worker
Primary
61093989
WA
Other
Enumeration date
07/05/2017
Last updated
04/07/2022
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