Individual
CRYSTAL FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2336 WISTERIA DR, SNELLVILLE, GA 30078-6191
(770) 733-1469
Mailing address
5850 HILLANDALE DR APT 1524, LITHONIA, GA 30058-4925
(850) 567-8659
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
GA
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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