Anissa Lynn Fuller, LISW

NPI #1417123068 in Dover, Ohio

Provider Information

NPI Number: 1417123068
Entity Type: Individual
Name: Anissa Lynn Fuller, LISW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LISW
Enumeration Date: May 5, 2008
Last Updated: May 5, 2008

Practice Location

Address: 201 HOSPITAL DR
City: Dover
State: Ohio
ZIP Code: 44622-2058
Phone: (330) 343-6631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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