Coyote Fairbank, LCSW
NPI #1447783170 in Polson, Montana
Provider Information
- NPI Number
- 1447783170
- Entity Type
- Individual
- Name
- Coyote Fairbank, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Apr 10, 2017
- Last Updated
- Nov 27, 2023
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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