Individual
TREY FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 POE RIDGE RD, PHILIPPI, WV 26416-7892
(304) 672-5526
Mailing address
701 POE RIDGE RD, PHILIPPI, WV 26416-7892
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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