Individual
MELANIE DONNA FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
501 SOUTHWEST DR STE A4, JONESBORO, AR 72401-5858
(501) 819-2317
Mailing address
501 SOUTHWEST DR STE A4, JONESBORO, AR 72401-5858
(501) 819-2317
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4007-C
AR
Other
Enumeration date
01/19/2009
Last updated
04/12/2021
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