John Fulmore, LCSW

NPI #1275989873 in Caldwell, Idaho

Provider Information

NPI Number
1275989873
Entity Type
Individual
Name
John Fulmore, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
May 12, 2016
Last Updated
May 12, 2016

Practice Location

Address
3402 FRANKLIN RD
State
Idaho
ZIP Code
83605-6932
Phone
(208) 459-0092

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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