Individual
MRS. BRANDI SHEA FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 CAMPBELL LN, JEFFERSONVILLE, KY 40337-8830
(859) 274-2762
Mailing address
175 CAMPBELL LN, JEFFERSONVILLE, KY 40337-8830
(859) 274-2762
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Enumeration date
08/12/2010
Last updated
06/09/2016
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