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1972321669
GINNA L FAULKNER
FORT WORTH, TX
NPI
1972321669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 17093)
Enumeration Date
2024-10-01
Last Update Date
2024-10-01
Business Address
GINNA L FAULKNER
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
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Mailing Address
GINNA L FAULKNER
PO BOX 2603
FORT WORTH, TX 76113-2603
Phone number: 817-569-4300
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