Fairchild, Jennifer
Fairchild, Jennifer is an individual health care provider with primary practice located at 183 Elizabeth St , Derby CT 06418-1813. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fairchild, Jennifer can be contacted via phone (203) 929-2093.Contact Information
Primary practice address
183 Elizabeth St
Derby CT 06418-1813
Phone: (203) 929-2093
Fax: (203) 929-2093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 006449 | Connecticut |
Profile Details
| NPI number | 1821282880 |
|---|---|
| LBN Legal business name | Fairchild, Jennifer |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 4th, 2007 |
| Last updated | Sep 4th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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