Faison, Etta Serena

Faison, Etta Serena is an sole proprietor health care provider with primary practice located at 210 S Clinton Ave , Dunn NC 28334-4907. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Faison, Etta Serena can be contacted via phone (910) 337-3520.

Contact Information

Primary practice address
210 S Clinton Ave Dunn NC 28334-4907
Phone: (910) 337-3520
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C006290 North Carolina

Profile Details

NPI number 1255570024
LBN Legal business name Faison, Etta Serena
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2009
Last updated Feb 20th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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