SAMANTHA FAULKNER

CAPE GIRARDEAU, MO
NPI1568885960
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-01-22
Last Update Date2014-01-22
Business Address
-- SAMANTHA FAULKNER
20 S SPRIGG ST
CAPE GIRARDEAU, MO 63703-6212
Phone number: 573-651-4177
Mailing Address
-- SAMANTHA FAULKNER
20 S SPRIGG ST
CAPE GIRARDEAU, MO 63703-6212
Phone number: 573-651-4177