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Individual

KELLEY FULKERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2817 VEACH RD, OWENSBORO, KY 42303-6252
(270) 240-5312
(270) 495-4305
Mailing address
2817 VEACH RD, OWENSBORO, KY 42303-6252
(270) 832-4945
(270) 495-4305

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253923
KY

Other

Enumeration date
05/28/2015
Last updated
04/09/2024
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