Etta "Serena" Faison's National Provider Identifier (NPI) Details
Etta "Serena" Faison, LCSW
NPI: 1255570024
Enumeration Date: 2009-02-18
Last updated: 2010-02-20
Sole Proprietor: YES
Status: active
Postal Address: 383 SERENITY LAKE DR, CLINTON, NC
Phone: 910-224-8017
Primary Practice Address: 210 S CLINTON AVE, DUNN, NC
Practice's phone: 910-337-3520