Individual
MS. ANN ELIZABETH FULK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1860 W WINCHESTER RD STE 106, LIBERTYVILLE, IL 60048-5312
(847) 816-6335
Mailing address
402 N MACARTHUR BLVD, MT PROSPECT, IL 60056-2214
(224) 578-0380
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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