Individual
NICOLA FULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2060 W WHISPERING WIND DR STE 270, PHOENIX, AZ 85085-2869
(480) 653-8434
Mailing address
15224 W FILLMORE ST, GOODYEAR, AZ 85338-4126
(520) 256-7711
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-16310
AZ
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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