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MRS. MOLLY JEAN FAULK L.I.S.W.
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1093965444
Individual Registrant:MRS. MOLLY JEAN FAULK L.I.S.W.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
255 W MAIN ST SAINT CLAIRSVILLE, OH 43950-1040 US
Tel: 740-695-9447 Fax: 740-695-8895
Tel: 740-695-9447 Fax: 740-695-8895
Contact information for business:
PO BOX 118 SAINT CLAIRSVILLE, OH 43950-0118 US
Tel: (74-0) -695-9447 Fax: 740-695-8895
Tel: (74-0) -695-9447 Fax: 740-695-8895
Registration Information:
NPI: 1093965444
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | OH | I0800036 |
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor | OH | I0800036 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 24-01 | OH | 05 |
