Individual
MRS. STEPHANIE MARIE FAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7925 MERRILL RD APT 2514, JACKSONVILLE, FL 32277-6533
(937) 681-1177
Mailing address
7925 MERRILL RD APT 2514, JACKSONVILLE, FL 32277-6533
(937) 681-1177
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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