Individual
THOMAS FAULCONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1335 FARRAGUT ST NW, WASHINGTON, DC 20011-6907
(202) 576-6226
Mailing address
2412 19TH ST NW UNIT 38, WASHINGTON, DC 20009-1568
(434) 609-3494
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
11/20/2024
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