MS. THERESA FULLHART, MSW

Social Worker - Clinical

Active Individual
NPI: 1780634196

Practice Address

905 MONTGOMERY STREET
Decorah, IA 52101

Phone: (563) 382-3649

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 05866 (IA)

Frequently Asked Questions

NPI 1780634196 is the National Provider Identifier for MS. THERESA FULLHART, MSW, a Social Worker - Clinical provider located in Decorah, IA. This NPI was enumerated on May 10, 2006.
MS. THERESA FULLHART, MSW practices at 905 MONTGOMERY STREET, Decorah, IA 52101.

Quick Facts

NPI
1780634196
Type
Individual
Enumerated
May 10, 2006
Last Updated
Aug 18, 2010

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