Individual
KALYN FAUNTLEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
256 CHAPMAN RD, NEWARK, DE 19702-5499
(302) 465-3413
Mailing address
104 5TH AVE, NEW CASTLE, DE 19720-4155
(302) 465-3413
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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