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1265749824
SUSAN C FAVARO
PHOENIX, AZ
NPI
1265749824
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-13352)
Enumeration Date
2010-09-02
Last Update Date
2012-02-07
Business Address
-- SUSAN C FAVARO LCSW
901 E WILLETTA ST
PHOENIX, AZ 85006-2727
Phone number: 602-839-6900
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Mailing Address
-- SUSAN C FAVARO LCSW
901 E WILLETTA ST
PHOENIX, AZ 85006-2727
Phone number: 602-839-6900
Copy
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