MS. Jill Therese Fulton, LISW-S, LICDC
NPI #1528346137 in Brecksville, Ohio
Provider Information
- NPI Number
- 1528346137
- Entity Type
- Individual
- Name
- MS. Jill Therese Fulton, LISW-S, LICDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- LISW-S, LICDC
- Enumeration Date
- Jul 31, 2011
- Last Updated
- Jun 30, 2012
Practice Location
- Address
- 8227 BRECKSVILLE RD
- Address 2
- SUITE104
- City
- Brecksville
- State
- Ohio
- ZIP Code
- 44141-1370
- Phone
- (440) 526-0468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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