Individual
JEFFREY FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 ORONOCO ST FL 2, ALEXANDRIA, VA 22314-2056
(703) 650-9195
Mailing address
119 ORONOCO ST FL 2, ALEXANDRIA, VA 22314-2056
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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