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Individual

ANDREA FULLERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1740 WAUKEGAN RD STE 210, GLENVIEW, IL 60025-2157
(312) 508-1204
Mailing address
1740 WAUKEGAN RD STE 210, GLENVIEW, IL 60025-2157
(312) 508-1204

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149016534
IL

Other

Enumeration date
04/15/2014
Last updated
11/09/2023
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