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Individual
THOMAS CHRISTIAN FAVALE JR.
Active
Individual
THOMAS CHRISTIAN FAVALE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DVM, LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.103853
IL
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/05/2019
Last updated
07/16/2019
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