Individual
MRS. ELIZABETH A FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
98 CUMBERLAND RD, SOUTH PORTLAND, ME 04106-6317
(207) 838-5138
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LM12215
ME
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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