Amy Fairbanks

NPI #1629488838 in Viera, Florida

Provider Information

NPI Number
1629488838
Entity Type
Individual
Name
Amy Fairbanks
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker
Enumeration Date
Apr 28, 2014
Last Updated
Apr 28, 2014

Practice Location

Address
2565 JUDGE FRAN JAMIESON WAY
City
Viera
State
Florida
ZIP Code
32940-5998
Phone
(321) 409-2136

Specialties & Taxonomy Codes

Specialty
Social Worker

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