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1235430273
TERRY THOMAS FARBER
ST. CLOUD, MN
NPI
1235430273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 302797)
Enumeration Date
2010-11-08
Last Update Date
2010-11-08
Business Address
-- TERRY THOMAS FARBER LADC
1406 6TH AVENUE NORTH ST. CLOUD HOSPITAL- RECOVERY PLUS
ST. CLOUD, MN 56303-1901
Phone number: 320-251-2700
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Mailing Address
-- TERRY THOMAS FARBER LADC
1900 CENTRACARE CIRCLE # 2475 CENTRA CARE HEALTH PLAZA
ST. CLOUD, MN 56303
Phone number: 320-229-5199
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