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Individual

HEATHER MARIE CASEY FULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
2500 W 31ST ST STE G, LAWRENCE, KS 66047-3051
(785) 856-0322
Mailing address
2500 W 31ST ST STE G, LAWRENCE, KS 66047-3051
(785) 856-0322

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13120
KS
1041C0700X
Clinical Social Worker
Primary
07117
KS

Other

Enumeration date
06/08/2023
Last updated
07/31/2026
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