Individual
AMBER FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8406 SIX FORKS RD STE 104, RALEIGH, NC 27615-3075
(855) 284-7483
(617) 807-0958
Mailing address
1000 JEFFERSON ST STE 2C, LYNCHBURG, VA 24504-1724
(855) 284-7483
(617) 807-0958
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P016181
NC
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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