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1194276774
ALEXIS FAULKNER
SANTA ROSA, CA
NPI
1194276774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-10-19
Last Update Date
2016-10-19
Business Address
-- ALEXIS FAULKNER
634 PRESSLEY ST
SANTA ROSA, CA 95404-5526
Phone number: 707-573-6955
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Mailing Address
-- ALEXIS FAULKNER
634 PRESSLEY ST
SANTA ROSA, CA 95404-5526
Phone number:
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