Individual
DEANNE MELOR MATHESON FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
415 RESERVATION DR, HARKER HEIGHTS, TX 76548-7466
(254) 690-1283
Mailing address
415 RESERVATION DR, HARKER HEIGHTS, TX 76548-7466
(254) 690-1283
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
40418
TX
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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