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Individual
STEPHANIE FARISS
Active
Individual
STEPHANIE FARISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
JD, LCSW
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
IL149006322
IL
Other
Enumeration date
05/31/2007
Last updated
08/28/2013
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