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Individual

JOSEPH EDWARD FAULKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
400 BALD HILL RD, WARWICK, RI 02886-1617
(401) 349-3131
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00458
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000021447
RI BLUE CROSS PROVIDER #
RI
01
408809
RI BLUE CHIP PROVIDER #
RI
Enumeration date
04/09/2007
Last updated
08/29/2024
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