Individual
DEBRA JANE FULLER-PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MS, LSW
Contact information
Practice address
1102 MEMORIAL BLVD W, HUNTINGTON, WV 25701-4540
(304) 523-9454
(304) 525-7038
Mailing address
1102 MEMORIAL BLVD W, HUNTINGTON, WV 25701-4540
(304) 523-9454
(304) 525-7038
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00940875
WV
Other
Enumeration date
04/18/2023
Last updated
05/10/2023
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