Individual
JOHN EDWARD FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
8303 COLESVILLE RD, SILVER SPRING, MD 20910-3203
(202) 445-7522
Mailing address
8303 COLESVILLE RD, SILVER SPRING, MD 20910-3203
(202) 445-7522
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13714
MD
Other
Enumeration date
10/21/2008
Last updated
11/23/2014
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