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MRS. MOLLY JEAN FAULK L.I.S.W.

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1093965444

Individual Registrant:
MRS. MOLLY JEAN FAULK L.I.S.W.
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

Contact information for business:
PO BOX 118  SAINT CLAIRSVILLE, OH 43950-0118 US
Tel: (74-0) -695-9447  Fax: 740-695-8895

Registration Information:
NPI: 1093965444
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
OHI0800036
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
OHI0800036

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
24-01OH05




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