Individual
KRISTIN S FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
250 DEWEY AVE, SPARTANBURG, SC 29303-3009
(864) 585-0366
(864) 582-9208
Mailing address
250 DEWEY AVE, SPARTANBURG, SC 29303-3009
(864) 585-0366
(864) 582-9208
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7160
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121328
—
SC
Enumeration date
01/31/2008
Last updated
01/31/2008
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