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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEANINE S FAIR, MSW, CICSW

Active

JEANINE S FAIR, MSW, CICSW is a Clinical Social Worker healthcare provider located in PORTAGE, Wisconsin. NPI 1174551774 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PORTAGE, WI

Registration Details

NPI Number
1174551774
Provider Type
Individual
Gender
Female
NPI Issued
Jun 30, 2006 (20.097864970387 yrs)
Last Updated
Jul 8, 2007
License
3127-123 (WI)

Practice Information

Address
2901 HUNTERS TRL
PORTAGE, WI, 539013403
Browse WI providers · Browse ZIP 53901
Phone
6087425518
Fax
6087424087
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in PORTAGE, WI

Name Credential NPI
PHILIP W ROBINSON 1649208505
SUSAN I QUIRICONI MSW CICSW 1013946987
LYNN S GROESCHEL MSW 1225060957
LISA MOWBRAY MSW 1205852886
JOSEPH HUBER 1962507160
DAWN WOODARD MSSW 1629203161
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.