Individual
KALENE MCSWAIN FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 PRESTON CT, VILLA RICA, GA 30180-7359
(909) 461-0047
Mailing address
35 PRESTON CT, VILLA RICA, GA 30180-7359
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006322
GA
Other
Enumeration date
03/05/2014
Last updated
03/28/2018
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