# BILL FULTON LCSW PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750535787
- **Authorized official:** MR. WILLIAM JOHN FULTON LCSW (BILL FULTON LCSW PC)
- **Authorized official phone:** (801) 278-2298

## Contact information

- **Practice address:** 2290 E 4500 S, SUITE 230, SALT LAKE CITY, UT 84117-4492
- **Practice address phone:** (801) 278-2298
- **Mailing address:** 2290 E 4500 S, SUITE 230, SALT LAKE CITY, UT 84117-4492
- **Mailing address phone:** (801) 278-2298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 88-135506-3501 | UT | Yes |

## Other

- **Enumeration date:** 11/04/2008
- **Last updated:** 11/04/2008