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Individual

MR. STEPHEN BORIS FESUK JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
100 E AVENUE A, KILLEEN, TX 76541-4763
(254) 526-4146
(254) 526-9351
Mailing address
304 S 22ND ST, TEMPLE, TX 76501-4726
(254) 526-4146
(254) 526-9351

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201272
TX

Other

Enumeration date
10/22/2008
Last updated
10/22/2008
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