Individual
CYNTHIA FAIRCHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 W RAMM RD LOT 9, CLAREMORE, OK 74017-8709
(918) 282-6550
Mailing address
613 W RAMM RD LOT 9, CLAREMORE, OK 74017-8709
(918) 282-6550
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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