Octavia Faulk, LMSW, ED.S

NPI #1992110597 in Valdosta, Georgia

Provider Information

NPI Number: 1992110597
Entity Type: Individual
Name: Octavia Faulk, LMSW, ED.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW, ED.S
Enumeration Date: Jun 23, 2014
Last Updated: Dec 16, 2023

Practice Location

Address: 1592 NORMAN DR
City: Valdosta
State: Georgia
ZIP Code: 31601-3581
Phone: (229) 300-7480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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