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1114194511
MARGARET RUTH FAVATA
LA GRANGE, KY
NPI
1114194511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: KY KY-0014)
Enumeration Date
2008-05-14
Last Update Date
2008-05-14
Business Address
-- MARGARET RUTH FAVATA LPCC
206 W JEFFERSON ST
LA GRANGE, KY 40031-1110
Phone number: 716-785-2730
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Mailing Address
-- MARGARET RUTH FAVATA LPCC
312 GLEASON CIR
EAST ROCHESTER, NY 14445-2338
Phone number: 716-785-2730
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