COLIN KELLY FAULKNER

SAINT PAUL, MN
NPI1881009306
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-06-23
Last Update Date2014-06-23
Business Address
-- COLIN KELLY FAULKNER
796 CAPITOL HTS
SAINT PAUL, MN 55103-1852
Phone number: 651-558-9522
Mailing Address
-- COLIN KELLY FAULKNER
1246 UNIVERSITY AVE W
SAINT PAUL, MN 55104-4125
Phone number: 651-558-9522
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