Maria Fairbourn, LCSW
NPI #1760048268 in Shelbyville, Kentucky
Provider Information
- NPI Number
- 1760048268
- Entity Type
- Individual
- Name
- Maria Fairbourn, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- May 10, 2019
- Last Updated
- May 10, 2019
Practice Location
- Address
- 7012 BEAMTREE DR
- City
- Shelbyville
- State
- Kentucky
- ZIP Code
- 40065-6328
- Phone
- (801) 367-3538
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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