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Individual

MR. AMIN ELLA FAIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LICSW, LCSW

Contact information

Practice address
1511 N WALKER ST, PRINCETON, WV 24740-2651
(304) 255-2121
Mailing address
PO BOX 306, RURAL RETREAT, VA 24368-0306

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904013524
VA
1041C0700X
Clinical Social Worker
Primary
DP00943879
WV
1041C0700X
Clinical Social Worker
TPSW6677
FL

Other

Enumeration date
08/16/2011
Last updated
05/11/2026
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