MS. Theresa K Fullhart, MSW

NPI #1780634196 in Decorah, Iowa

Provider Information

NPI Number: 1780634196
Entity Type: Individual
Name: MS. Theresa K Fullhart, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: MSW
Enumeration Date: May 10, 2006
Last Updated: Aug 18, 2010

Practice Location

Address: 905 MONTGOMERY STREET
City: Decorah
State: Iowa
ZIP Code: 52101
Phone: (563) 382-3649

Specialties & Taxonomy Codes

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

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