NPI 1083370704

Kristyn Ann Faircloth, LCSW

Practitioner Clinical Social Worker Lake City, FL

Practice location

Address: 216 SE Corrections Way, Lake City, FL 32025-2013
Phone: (386) 292-7198

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 18824 (FL)

Other Social Worker providers in Florida →

Registry record

NPI: 1083370704
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2021
Record last updated: 17 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.