Individual
VICTORIA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
467 W DOYLE ST, TOCCOA, GA 30577-1791
(706) 827-9937
(706) 827-0085
Mailing address
656 BLACKBERRY LN, CLARKESVILLE, GA 30523-4461
(706) 754-0887
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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