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1386047959
STEPHEN FARKAS
ALTON, IL
NPI
1386047959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178009802)
Enumeration Date
2014-09-26
Last Update Date
2014-09-26
Business Address
-- STEPHEN FARKAS
2615 EDWARDS ST
ALTON, IL 62002-3915
Phone number: 618-462-2331
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Mailing Address
-- STEPHEN FARKAS
2615 EDWARDS ST
ALTON, IL 62002-3915
Phone number: 618-462-2331
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