OCTAVIA FAULK

VALDOSTA, GA
NPI1992110597
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: GA  MSW010634)
Enumeration Date2014-06-23
Last Update Date2023-12-16
Business Address
OCTAVIA FAULK LMSW, Ed.S
1592 NORMAN DR
VALDOSTA, GA 31601-3581
Phone number: 229-300-7480
Mailing Address
OCTAVIA FAULK LMSW, Ed.S
105 WYOMING ST
ADEL, GA 31620-5214
Phone number: 229-300-7480
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