Individual
KHAREEMA FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1813 E PASTORIUS ST, PHILADELPHIA, PA 19138-1203
(267) 438-2604
Mailing address
1813 E PASTORIUS ST, PHILADELPHIA, PA 19138-1203
(267) 438-2604
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
PA
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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