Individual
MR. HARRY JEFFERY FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3405 WESTWOOD PKWY, FLINT, MI 48503-4686
(810) 232-8466
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801072235
MI
1041C0700X
Clinical Social Worker
6801072235
MI
Other
Enumeration date
06/06/2008
Last updated
04/16/2024
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