Individual
MELANIE FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15303 S 94TH AVE, ORLAND PARK, IL 60462-3825
(773) 507-9847
Mailing address
15303 S 94TH AVE, ORLAND PARK, IL 60462-3825
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/23/2022
Last updated
04/23/2022
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