Individual
MR. MARK ANTHONY FUELLING
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
502 BURKARTH RD, STE D, WARRENSBURG, MO 64093-0890
(660) 429-6678
(660) 429-6672
Mailing address
502 BURKARTH RD STE D, PO BOX F, WARRENSBURG, MO 64093-0890
(660) 429-6678
(660) 429-6672
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW002969
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21595013
BCBS
MO
Enumeration date
02/09/2006
Last updated
07/08/2007
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