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Individual

MICHAEL JOSEPH FAREL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
10244 ALLPINE LN, SAINT LOUIS, MO 63128-3219
(314) 630-0093
Mailing address
10244 ALLPINE LN, SAINT LOUIS, MO 63128-3219
(314) 630-0093

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003129
MO
1041C0700X
Clinical Social Worker
149007384
IL

Other

Enumeration date
01/16/2019
Last updated
01/16/2019
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