MRS. Merlane C Fuller, LISW

NPI #1568450708 in Newark, Ohio

Provider Information

NPI Number: 1568450708
Entity Type: Individual
Name: MRS. Merlane C Fuller, LISW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LISW
Enumeration Date: Oct 12, 2005
Last Updated: Oct 4, 2011

Practice Location

Address: 60 MESSIMER DR
City: Newark
State: Ohio
ZIP Code: 43055-1842
Phone: (740) 522-2230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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