Individual
MRS. KAYLA ELAINE FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1700 E 38TH ST RM 222, MARION, IN 46953-4568
(765) 674-3321
Mailing address
1700 E 38TH ST RM 222, MARION, IN 46953-4568
(765) 674-3321
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33009728A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33009728A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
03/21/2022
Last updated
03/21/2022
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