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1124697404
CARLY FAULK
YOUNGSVILLE, LA
NPI
1124697404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: LA 011734348)
Enumeration Date
2021-06-22
Last Update Date
2021-06-22
Business Address
CARLY FAULK
209 CENTRE SARCELLE BLVD STE 201
YOUNGSVILLE, LA 70592-6755
Phone number: 337-857-3674
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Mailing Address
CARLY FAULK
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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