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1609654417
MIA FAULKNER
PADUCAH, KY
NPI
1609654417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: KY 287245)
Enumeration Date
2023-09-21
Last Update Date
2023-10-02
Business Address
MIA FAULKNER LPCA
3565 LONE OAK RD STE 2
PADUCAH, KY 42003-5717
Phone number: 270-554-3714
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Mailing Address
MIA FAULKNER LPCA
3310 CENTRAL AVE
PADUCAH, KY 42001-4248
Phone number: 270-556-2370
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