Individual
JOY FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 TEXAN DR, JUSTIN, TX 76247-8791
(817) 215-0000
Mailing address
5001 LODGEPOLE LN, FORT WORTH, TX 76137-6335
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
35375
TX
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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