Individual
MR. JASON FARO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
12 METHUEN ST, LAWRENCE, MA 01840-1700
(978) 620-1250
Mailing address
12 METHUEN ST, LAWRENCE, MA 01840-1700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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