Jesse Smith-Fulia, LCSW

NPI #1144018847 in Vienna, Illinois

Provider Information

NPI Number
1144018847
Entity Type
Individual
Name
Jesse Smith-Fulia, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Apr 30, 2025
Last Updated
Apr 30, 2025

Practice Location

Address
300 RED BUD LN
City
Vienna
ZIP Code
62995-1792
Phone
(618) 658-3079

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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