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1144902255
MICHANYA FAULK
MARLTON, NJ
NPI
1144902255
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Former Name
MICHANYA RICKETTS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 44SL05875400)
Enumeration Date
2023-08-07
Last Update Date
2023-08-09
Business Address
MICHANYA FAULK MSW, LSW
777 ROUTE 70 E STE G101
MARLTON, NJ 08053-2548
Phone number: 800-413-8020
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Mailing Address
MICHANYA FAULK MSW, LSW
PO BOX 49
ENGLEWOOD, NJ 07631-0049
Phone number: 800-413-8020
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