Full 360

NPI #1851085815 in Beloit, Wisconsin

Provider Information

NPI Number: 1851085815
Entity Type: Organization
Organization Name: Full 360
Primary Specialty: Social Worker
Enumeration Date: Jun 5, 2023
Last Updated: Jun 5, 2023

Practice Location

Address: 1633 KEELER AVE
City: Beloit
State: Wisconsin
ZIP Code: 53511-4713
Phone: (608) 718-6304

Authorized Official

Name: PORSCHA NALAN
Title: CO-FOUNDER
Phone: (608) 718-6304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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