Provider Information for 1013112861
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MICHELLE MEYER FARIAS L.P.C.
Other Names:Former Name:MICHELLE JEAN FARIAS LPCSex: Female
NPI: 1013112861
Last Updated: 2008-02-13
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1013112861 | ||||||||
| Enumeration Date | 2007-06-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2711 GAINESBOROUGH DR SAN ANTONIO, TX 78230-4528 United States Phone: 210-725-5379 | Fax: | ||||||||
| Primary Practice Address | 2711 GAINESBOROUGH DR SAN ANTONIO, TX 78230-4528 United States Phone: 210-725-5379 | Fax: | ||||||||
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