Individual
MRS. WHITNEY LAIN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5000 HIGHWAY 39 N, MERIDIAN, MS 39301-1021
(601) 483-6211
Mailing address
5000 HIGHWAY 39 N, MERIDIAN, MS 39301-1021
(601) 483-6211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7557
MS
Other
Enumeration date
08/29/2024
Last updated
09/25/2024
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