Individual
MS. MELINDA R. FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW LIC#1683-C AR
Contact information
Practice address
15 E 5TH ST, MOUNTAIN HOME, AR 72653-3809
(870) 425-2030
(870) 425-7030
Mailing address
15 E 5TH ST, MOUNTAIN HOME, AR 72653-3809
(870) 425-2030
(870) 425-7030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1683-C
AR
Other
Enumeration date
02/07/2007
Last updated
06/20/2013
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