Shaina Lynn Fairbank, LCSW

NPI #1164198826 in Polson, Montana

Provider Information

NPI Number
1164198826
Entity Type
Individual
Name
Shaina Lynn Fairbank, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Aug 20, 2021
Last Updated
Aug 20, 2021

Practice Location

Address
2 6TH AVE E
City
Polson
State
Montana
ZIP Code
59860-2726
Phone
(406) 303-3564

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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