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Individual

DR. THERESA ANNE FAULKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
135 PINE ST, SUITE B, BUFFALO, WY 82834-2332
(307) 684-5828
(307) 684-5803
Mailing address
135 PINE ST, SUITE B, BUFFALO, WY 82834-2332
(307) 684-5828
(307) 684-5803

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
#268
WY

Other

Enumeration date
11/11/2005
Last updated
12/10/2008
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