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1861529604
THEODORE PAUL FARIS
WEST BLOOMFIELD, MI
NPI
1861529604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401008983)
Enumeration Date
2007-02-28
Last Update Date
2009-09-07
Business Address
-- THEODORE PAUL FARIS MA, LPC
2300 HAGGERTY RD SUITE 2160
WEST BLOOMFIELD, MI 48323-2184
Phone number: 248-960-5106
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Mailing Address
-- THEODORE PAUL FARIS MA, LPC
3689 DARCY DR
BLOOMFIELD TOWNSHIP, MI 48301-2126
Phone number: 248-644-0253
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