Organization
COPING 4 KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRIS FULKERSON LCSW, MSW, MS (FOUNDER/PRESIDENT)
(618) 830-5312
Entity
Organization
Contact information
Practice address
900 N WALNUT ST., BREESE, IL 62230
(618) 830-5312
Mailing address
900 N WALNUT ST., BREESE, IL 62230
(618) 830-5312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.013537
IL
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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