Individual
MS. CHRISTY GAIL FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 203-0972
(425) 277-1566
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 203-0972
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004869
WA
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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