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Individual

MS. CHRISTINA B. FAULKNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA-CCC-SLP

Contact information

Practice address
2012 IRONWOOD CIR, SOUTH BEND, IN 46635-1888
(574) 273-2743
Mailing address
3212 DODY AVE, #4, MICHIGAN CITY, IN 46360-7240
(317) 430-0087

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003664A
IN

Other

Enumeration date
08/19/2009
Last updated
08/19/2009
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