JESSICA FULLENKAMP
Social Worker - Clinical
Active
Individual
NPI: 1396147849
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 6801092723 (MI) |
Frequently Asked Questions
NPI 1396147849 is the National Provider Identifier for JESSICA FULLENKAMP, a Social Worker - Clinical provider located in Highland Park, MI. This NPI was enumerated on September 16, 2014.
JESSICA FULLENKAMP practices at 77 VICTOR ST, Highland Park, MI 48203.
Quick Facts
- NPI
- 1396147849
- Type
- Individual
- Enumerated
- Sep 16, 2014
- Last Updated
- Sep 16, 2014
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