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1437693561
DEREK FAULKNER
INDEPENDENCE, MO
NPI
1437693561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2015026806)
Enumeration Date
2016-12-08
Last Update Date
2016-12-08
Business Address
-- DEREK FAULKNER
2400 LITTLE BLUE PKWY
INDEPENDENCE, MO 64057
Phone number: 615-483-7009
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Mailing Address
-- DEREK FAULKNER
3861 N MULBERRY DR APT 2403
KANSAS CITY, MO 64116-1877
Phone number:
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