Janice M Fuller

NPI #1306450218 in Saint Clair Shores, Michigan

Provider Information

NPI Number: 1306450218
Entity Type: Individual
Name: Janice M Fuller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Sep 8, 2020
Last Updated: Sep 8, 2020

Practice Location

Address: 30017 HARPER AVE
City: Saint Clair Shores
State: Michigan
ZIP Code: 48082-1649
Phone: (586) 899-5719

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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