Individual
GAIL MARIE FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 E 2ND ST, CASPER, WY 82609-2048
(307) 333-1301
(307) 333-5436
Mailing address
15 SAGEBRUSH ST, CASPER, WY 82604-3809
(307) 462-9999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-1027
WY
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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