| Nicole E Fairburn, MSW, LISW | |
|
3095 Kettering Blvd, Moraine, OH 45439-1983 | |
| (937) 534-1339 | |
| Not Available |
| Full Name | Nicole E Fairburn |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3095 Kettering Blvd, Moraine, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659924959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.2203412 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole E Fairburn, MSW, LISW 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: (937) 534-1339 | Nicole E Fairburn, MSW, LISW 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: (937) 534-1339 |
Elizabeth Liapis, LISW-SUPV Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 Fax: 937-534-1347 | |
Emily Nicole Broad, LSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Pamela Bailey, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Dawn Marie Dickman, SWT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2211 Arbor Blvd, Moraine, OH 45439 Phone: 937-222-9481 | |
Jarhal Duncan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 Fax: 937-534-1347 | |
Mrs. Ashley Diane Leblanc, MSW/LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Ciara Nicole Blake, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 |