Individual
DR. JAMES WOODROW FULLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LCSW
Contact information
Practice address
8001 FRANKLIN FARMS DR RM 225, RICHMOND, VA 23229-5117
(804) 967-0486
Mailing address
2410 LARKWOOD ROAD, RICHMOND, VA 23294-4105
(804) 967-0486
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000574
VA
Other
Enumeration date
12/12/2007
Last updated
09/14/2010
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