Individual
SUZAN MARIE FARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91150 COBURG INDUSTRIAL LANE, COBURG, OR 97408
(416) 871-1105
(541) 735-6572
Mailing address
91150 COBURG INDUSTRIAL LANE, COBURG, OR 97408
(416) 871-1105
(541) 735-6572
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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