Mario Fulton II, LMSW

NPI #1891559738 in Covington, Tennessee

Provider Information

NPI Number: 1891559738
Entity Type: Individual
Name: Mario Fulton II, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Feb 12, 2024
Last Updated: Feb 12, 2024

Practice Location

Address: 510 PAYNE AVE
City: Covington
State: Tennessee
ZIP Code: 38019-3016
Phone: (731) 612-2426

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - School — School	1041S0200X
Social Worker	104100000X	Primary

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