Tessa Fultz, LICSW

NPI #1568968204 in Farmington, Minnesota

Provider Information

NPI Number: 1568968204
Entity Type: Individual
Name: Tessa Fultz, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LICSW
Enumeration Date: Apr 2, 2018
Last Updated: Oct 15, 2024

Practice Location

Address: 408 3RD ST STE 107
City: Farmington
State: Minnesota
ZIP Code: 55024-1355
Phone: (651) 252-4025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Social Worker	104100000X	Primary

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