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Individual
NOREEN E FULTON
Active
Individual
NOREEN E FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CW012735
PA
1041C0700X
Clinical Social Worker
Primary
CW012735
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01092904
CAPITAL BLUE CROSS
PA
01
—
132760
VALUE OPTIONS
PA
01
—
2027483
CIGNA BEHAVIORAL HEALTH
PA
01
—
230674000
MAGELLAN
PA
01
—
273324
MAMSI
PA
01
—
68746501
BC/BS OF MD CARE FIRST
PA
01
—
734869
PABS (FEP ONLY)
PA
Enumeration date
06/22/2006
Last updated
02/07/2012
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