Individual
HANNAH FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7161 COLUMBIA GATEWAY DR STE A, COLUMBIA, MD 21046-2148
(410) 872-1050
Mailing address
237 S CASTLE ST, BALTIMORE, MD 21231-2602
(410) 872-1050
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23209
MD
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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