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1730420530
SANDY MARIE FAULK
LAKE CHARLES, LA
NPI
1730420530
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Other Name
SANDY FAULK KIMBALL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2013-03-05
Last Update Date
2013-03-05
Business Address
MRS. SANDY MARIE FAULK
4105 KIRKMAN ST
LAKE CHARLES, LA 70607-4603
Phone number: 337-475-8022
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Mailing Address
MRS. SANDY MARIE FAULK
4105 KIRKMAN ST
LAKE CHARLES, LA 70607-0603
Phone number: 337-475-8022
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