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Individual
STEPHEN RYAN FAILLE
Active
Individual
STEPHEN RYAN FAILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, ASW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1239753
CA
104100000X
Social Worker
Primary
ASW102825
CA
Other
Enumeration date
06/22/2016
Last updated
03/19/2024
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