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Billing entities under FAIRBANKS, CLARISSE
Every Medicaid billing NPI that lists FAIRBANKS, CLARISSE (owner, authorized official) as its authorized official in NPPES: 1 entity in 1 state, paid $561.64 combined.
28Combined paid$561.64
33Billing entities1
24GClaims28
States1
Matched on the name exactly as typed into NPPES. Two different people with the same name will land on the same page.
Box 32 · Location
By state
Box 33 · Billing providers
All entities
| # | Provider | Location | Type | Paid |
|---|---|---|---|---|
| 1 | Psychiatric Wellness Care, LLC | West Hartford, CT | Adult Mental Health Clinic/Center | $561.64 |