Karmen Fairbanks, LICSW

NPI #1073373098 in Red Lake, Minnesota

Provider Information

NPI Number: 1073373098
Entity Type: Individual
Name: Karmen Fairbanks, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Mar 19, 2024
Last Updated: Apr 17, 2024

Practice Location

Address: 16000 PIKE CREEK AVE N
City: Red Lake
State: Minnesota
ZIP Code: 56671
Phone: (218) 407-1510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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