Louis James Fazio

NPI #1841953759 in Maud, Oklahoma

Provider Information

NPI Number: 1841953759
Entity Type: Individual
Name: Louis James Fazio
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Oct 18, 2021
Last Updated: Oct 21, 2021

Practice Location

Address: 32018 HIGHWAY 59
City: Maud
State: Oklahoma
ZIP Code: 74854
Phone: (405) 374-1225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Peer Specialist	175T00000X	Primary

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