Jeanine S Fair, MSW, CICSW
NPI #1174551774 in Portage, Wisconsin
Provider Information
- NPI Number
- 1174551774
- Entity Type
- Individual
- Name
- Jeanine S Fair, MSW, CICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, CICSW
- Enumeration Date
- Jun 30, 2006
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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