Ellen Fuller, LBSW, QMRP, QMHP

NPI #1184045585 in Harrison, Michigan

Provider Information

NPI Number: 1184045585
Entity Type: Individual
Name: Ellen Fuller, LBSW, QMRP, QMHP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LBSW, QMRP, QMHP
Enumeration Date: Jan 2, 2014
Last Updated: Jan 2, 2014

Practice Location

Address: 789 N CLARE AVE
City: Harrison
State: Michigan
ZIP Code: 48625-9194
Phone: (989) 539-2141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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