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Individual

MEGAN FULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
4692 EASTWICK DR, NEWBURGH, IN 47630-2580
(812) 629-8670
Mailing address
4692 EASTWICK DR, NEWBURGH, IN 47630-2580
(812) 629-8670

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33011334A
IN

Other

Enumeration date
06/15/2023
Last updated
06/15/2023
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