Individual
MR. EDWARD RANDALL FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1985 STATE ROUTE 34 STE A3, WALL TOWNSHIP, NJ 07719-9101
(215) 817-7372
(215) 554-6966
Mailing address
404 GRASSMERE AVE, INTERLAKEN, NJ 07712-4313
(215) 817-7372
(215) 554-6966
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC05919000
NJ
104100000X
Social Worker
SW126856
PA
Other
Enumeration date
10/10/2008
Last updated
11/29/2022
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