Ivette Yolanda Fuller

NPI #1881711976 in Rockledge, Florida

Provider Information

NPI Number: 1881711976
Entity Type: Individual
Name: Ivette Yolanda Fuller
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Mar 23, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 1022 FLORIDA AVE S
Address 2: STE. 6
City: Rockledge
State: Florida
ZIP Code: 32955-2145
Phone: (321) 634-3688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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