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Individual

STACY FAISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
500 E OGLETHORPE HWY, HINESVILLE, GA 31313-2804
(912) 408-2900
Mailing address
500 E OGLETHORPE HWY, HINESVILLE, GA 31313-2804
(912) 408-2900

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
62117
TX

Other

Enumeration date
03/14/2016
Last updated
06/01/2016
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