Individual
MARGARET RUTH FAVATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
206 W JEFFERSON ST, LA GRANGE, KY 40031-1110
(716) 785-2730
Mailing address
312 GLEASON CIR, EAST ROCHESTER, NY 14445-2338
(716) 785-2730
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
KY-0014
KY
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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