Individual
ESTHER FULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2463
(937) 399-9500
Mailing address
474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2463
(937) 399-9500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2411525
OH
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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