Individual
SHANA FULKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
2707 BRECKENRIDGE ST, OWENSBORO, KY 42303-1385
(270) 215-4000
(270) 215-4011
Mailing address
2707 BRECKENRIDGE ST, OWENSBORO, KY 42303-1385
(270) 215-4000
(270) 215-4011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00001181
KY
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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