Individual
AMANDA FULKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1201 E 9TH ST, BONHAM, TX 75418-4059
(903) 583-2111
Mailing address
1201 E 9TH ST, BONHAM, TX 75418-4059
(903) 583-2111
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34423
TX
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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