Sharon Koenig Fuller, LCSW
NPI #1962088906 in San Clemente, California
Provider Information
- NPI Number
- 1962088906
- Entity Type
- Individual
- Name
- Sharon Koenig Fuller, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Mar 21, 2021
- Last Updated
- Mar 21, 2021
Practice Location
- Address
- 64 PASEO ROSA
- City
- San Clemente
- State
- California
- ZIP Code
- 92673-6506
- Phone
- (949) 842-4413
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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