Clarence G Faulk SR.
NPI #1952037954 in Kenova, West Virginia
Provider Information
- NPI Number
- 1952037954
- Entity Type
- Individual
- Name
- Clarence G Faulk SR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Aug 1, 2022
- Last Updated
- Aug 1, 2022
Practice Location
- Address
- 802 OAK ST
- City
- Kenova
- State
- West Virginia
- ZIP Code
- 25530-1519
- Phone
- (304) 908-1056
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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