Individual
MRS. SANDY MARIE FAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4105 KIRKMAN ST, LAKE CHARLES, LA 70607-4603
(337) 475-8022
(337) 475-8054
Mailing address
4105 KIRKMAN ST, LAKE CHARLES, LA 70607-0603
(337) 475-8022
(337) 475-8054
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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