Orlesha Diane Fairgood, LICSW
NPI #1689327082 in Offutt Afb, Nebraska
Provider Information
- NPI Number
- 1689327082
- Entity Type
- Individual
- Name
- Orlesha Diane Fairgood, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Jan 27, 2022
- Last Updated
- Jan 27, 2025
Practice Location
- Address
- 2501 CAPEHART RD
- City
- Offutt Afb
- State
- Nebraska
- ZIP Code
- 68113-1043
- Phone
- (402) 294-3206
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Social Worker - Clinical — Clinical |
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