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1780780676
MONIQUE TARVER FAULK
FORT BENNING, GA
NPI
1780780676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AL 1824C)
Enumeration Date
2006-09-16
Last Update Date
2007-07-08
Business Address
-- MONIQUE TARVER FAULK LCSW
7950 MARTIN LOOP 4A OUTPATIENT MENTAL HEALTH
FORT BENNING, GA 31905-5647
Phone number: 706-544-3590
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Mailing Address
-- MONIQUE TARVER FAULK LCSW
98 LEE ROAD 2000
SMITHS STATION, AL 36877-2476
Phone number: 334-448-8287
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