Individual
LEONE LEE FULKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4000
Mailing address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
254119
KY
Other
Enumeration date
06/14/2019
Last updated
06/27/2019
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