Individual
CHRISTINA FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11690 BRIAN LAKES DR, JACKSONVILLE, FL 32221-2855
(502) 287-7782
Mailing address
11690 BRIAN LAKES DR, JACKSONVILLE, FL 32221-2855
(502) 287-7782
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9507
FL
Other
Enumeration date
09/04/2007
Last updated
06/07/2020
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