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Organization
BILL FULTON LCSW PC
Active
Organization
BILL FULTON LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JOHN FULTON LCSW (BILL FULTON LCSW PC)
(801) 278-2298
Entity
Organization
Contact information
Practice address
2290 E 4500 S, SUITE 230, SALT LAKE CITY, UT 84117-4492
(801) 278-2298
Mailing address
2290 E 4500 S, SUITE 230, SALT LAKE CITY, UT 84117-4492
(801) 278-2298
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
88-135506-3501
UT
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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