Individual
CHARLOTTE FOUNTAIN FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3495 HOFFMAN ST, GREEN COVE SPRINGS, FL 32043-4770
(904) 284-8200
Mailing address
188 RIVERWALK BLVD, ST JOHNS, FL 32259-8622
(904) 521-5719
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
FL
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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