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NPI Code Detail

MEDICARE: CATHLEEN FAIRBANKS

MEDICARE: CATHLEEN FAIRBANKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1831055029
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHLEEN FAIRBANKS
Provider Business Mailing Address
First Line : 803 E WASHINGTON ST STE 200
Second Line :
City : MEDINA
State : OH
Zip : 44256-3326
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 803 E WASHINGTON ST STE 200
Second Line :
City : MEDINA
State : OH
Zip : 44256-3326
Country : US
Telephone Number : 330-636-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2025
Last Update Date : 12/31/2025

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Directions to “ CATHLEEN FAIRBANKS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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