Individual
JOSHUA ALLAN FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 STATE HOSPITAL DR, BANGOR, ME 04401-8816
(207) 623-8411
Mailing address
35 STATE HOSPITAL DR, BANGOR, ME 04401-8816
(207) 623-8411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC24856
ME
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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