Individual
BRE'LYSE L FULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
3768 E MAIN ST, WHITEHALL, OH 43213-2925
(513) 834-7063
(513) 873-1567
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1459
(513) 834-7063
(513) 873-1567
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.1700565-SUPV
OH
1041C0700X
Clinical Social Worker
I.1700565
OH
Other
Enumeration date
07/23/2014
Last updated
08/28/2020
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