Carolyn Anne Fuller
NPI #1427878016 in Bluefield, West Virginia
Provider Information
- NPI Number
- 1427878016
- Entity Type
- Individual
- Name
- Carolyn Anne Fuller
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Oct 16, 2024
- Last Updated
- Oct 16, 2024
Practice Location
- Address
- 909 CAROLINA AVE
- City
- Bluefield
- State
- West Virginia
- ZIP Code
- 24701-2716
- Phone
- (304) 922-8705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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