Individual
JANET FULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
840 INTERSTATE DR, GRAYSON, KY 41143-1768
(606) 329-8588
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(160) 632-9858
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256518
KY
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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