Mark P Fuller, LCSW, SAC, ICS,
NPI #1780859744 in Keshena, Wisconsin
Provider Information
- NPI Number
- 1780859744
- Entity Type
- Individual
- Name
- Mark P Fuller, LCSW, SAC, ICS,
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW, SAC, ICS,
- Enumeration Date
- Apr 29, 2008
- Last Updated
- Mar 18, 2016
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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