Individual
STACEY FABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 W BROAD ST, COLUMBUS, OH 43222-1464
(614) 717-0822
Mailing address
815 W BROAD ST, COLUMBUS, OH 43222-1464
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
391023
OH
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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