Individual
LUCY KAITLYN FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
17A WOODLAND RD, MADISON, CT 06443-2342
(203) 779-5490
Mailing address
17 WOODLAND RD, MADISON, CT 06443-2342
(203) 430-3577
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4269
CT
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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