Teresa Faillace, LCSW

NPI #1548330145 in Florence, Oregon

Provider Information

NPI Number: 1548330145
Entity Type: Individual
Name: Teresa Faillace, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: LCSW
Enumeration Date: Nov 9, 2006
Last Updated: Oct 1, 2013

Practice Location

Address: 1495 W 8TH STREET
City: Florence
State: Oregon
ZIP Code: 97439-0007
Phone: (541) 997-6452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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