Individual
JESSICA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39 COUNTY ST, PEABODY, MA 01960-5207
(541) 580-5927
Mailing address
12 GILL ST, WOBURN, MA 01801-1765
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
224703
MA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/08/2016
Last updated
08/10/2021
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