Jacob Fuller

NPI #1063063667 in Allegan, Michigan

Provider Information

NPI Number
1063063667
Entity Type
Individual
Name
Jacob Fuller
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Enumeration Date
Sep 25, 2019
Last Updated
Sep 25, 2019

Practice Location

Address
213 HUBBARD ST
ZIP Code
49010-1320
Phone
(269) 673-1896

Specialties & Taxonomy Codes

Specialty
Social Worker

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