MR. CORNELIUS FULLER, LBSW

Social Worker

Active Individual
NPI: 1669686853

Practice Address

1 PARKLANE BLVD STE 200E
Dearborn, MI 48126

Phone: (313) 846-2606

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes 6802033061 (MI)

Frequently Asked Questions

NPI 1669686853 is the National Provider Identifier for MR. CORNELIUS FULLER, LBSW, a Social Worker provider located in Dearborn, MI. This NPI was enumerated on May 9, 2007.
MR. CORNELIUS FULLER, LBSW practices at 1 PARKLANE BLVD STE 200E, Dearborn, MI 48126.

Quick Facts

NPI
1669686853
Type
Individual
Enumerated
May 9, 2007
Last Updated
Feb 12, 2025

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