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Individual
LANCE FAEGENBURG
Active
Individual
LANCE FAEGENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCWS
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8782
TN
Other
Enumeration date
05/21/2021
Last updated
11/18/2024
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