TESSA FULTZ, LICSW

Social Worker

Active Individual
NPI: 1568968204

Practice Address

408 3RD ST STE 107
Farmington, MN 55024

Phone: (651) 252-4025

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X No -
Social Worker 104100000X Yes 26216 (MN)

Frequently Asked Questions

NPI 1568968204 is the National Provider Identifier for TESSA FULTZ, LICSW, a Social Worker provider located in Farmington, MN. This NPI was enumerated on April 2, 2018.
TESSA FULTZ, LICSW practices at 408 3RD ST STE 107, Farmington, MN 55024.

Quick Facts

NPI
1568968204
Type
Individual
Enumerated
Apr 2, 2018
Last Updated
Oct 15, 2024

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