Jackie E Fuller-Wooster, T-LMSW

NPI #1134351703 in Ottawa, Kansas

Provider Information

NPI Number: 1134351703
Entity Type: Individual
Name: Jackie E Fuller-Wooster, T-LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: T-LMSW
Enumeration Date: Aug 17, 2009
Last Updated: Aug 17, 2009

Practice Location

Address: 204 E 15TH ST
City: Ottawa
State: Kansas
ZIP Code: 66067-3903
Phone: (785) 242-3780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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