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1104058551
CHRISTINA B. FAULKNER
SOUTH BEND, IN
NPI
1104058551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IN 22003664A)
Enumeration Date
2009-08-19
Last Update Date
2009-08-19
Business Address
MS. CHRISTINA B. FAULKNER MA-CCC-SLP
2012 IRONWOOD CIR
SOUTH BEND, IN 46635-1888
Phone number: 574-273-2743
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Mailing Address
MS. CHRISTINA B. FAULKNER MA-CCC-SLP
3212 DODY AVE #4
MICHIGAN CITY, IN 46360-7240
Phone number: 317-430-0087
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