Individual
MRS. ASHLEY FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 S DIXIE HWY, ST AUGUSTINE, FL 32084-0313
(904) 309-1300
Mailing address
9664 WHITTINGTON DR, JACKSONVILLE, FL 32257-5447
(904) 236-9269
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW21407
FL
Other
Enumeration date
05/13/2022
Last updated
04/28/2023
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