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Individual
MS. JILL THERESE FULTON
Active
Individual
MS. JILL THERESE FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S, LICDC
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-0002356
OH
Other
Enumeration date
07/31/2011
Last updated
06/30/2012
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