Organization
BILL FULTON LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JOHN FULTON LCSW (BILL FULTON LCSW PC)
(801) 278-2298
Entity
Organization
Contact information
Practice address
2290 E 4500 S, SUITE 230, SALT LAKE CITY, UT 84117-4492
(801) 278-2298
Mailing address
2290 E 4500 S, SUITE 230, SALT LAKE CITY, UT 84117-4492
(801) 278-2298
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
88-135506-3501
UT
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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