Timothy Fairbanks, LISW
NPI #1619693785 in North Liberty, Iowa
Provider Information
- NPI Number
- 1619693785
- Entity Type
- Individual
- Name
- Timothy Fairbanks, LISW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LISW
- Enumeration Date
- Oct 19, 2022
- Last Updated
- Oct 17, 2024
Practice Location
- Address
- 1290 JORDAN ST
- City
- North Liberty
- State
- Iowa
- ZIP Code
- 52317-8020
- Phone
- (319) 249-0307
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Social Worker - Clinical — Clinical |
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