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1104241637
SUSAN DELAINE FARIS
CARROLLTON, TX
NPI
1104241637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 7514)
Enumeration Date
2014-02-20
Last Update Date
2014-02-20
Business Address
Ms. SUSAN DELAINE FARIS MA, LCDC
2340 TRINITY MILLS SUITE 300
CARROLLTON, TX 75006
Phone number: 972-814-3392
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Mailing Address
Ms. SUSAN DELAINE FARIS MA, LCDC
P.O. BOX 475
LEWISVILLE, TX 75067
Phone number: 972-814-3392
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