Individual
OLIVIA LEE FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
40 BEY LEA RD, TOMS RIVER, NJ 08753-2989
(732) 349-5550
Mailing address
40 BEY LEA RD, TOMS RIVER, NJ 08753-2989
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06951400
NJ
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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