Individual
MS. JANE CATHERINE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8585 BROADWAY, SUITE 520, MERRILLVILLE, IN 46410-7064
(219) 942-0076
Mailing address
1040 GARFIELD ST, HOBART, IN 46342-6030
(219) 942-0076
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IN
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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