SAMUEL FULLER
Social Worker - Clinical
Active
Individual
NPI: 1982157194
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | No | - |
| Social Worker - Clinical | 1041C0700X | Yes | 12920621-3501 (UT) |
Frequently Asked Questions
NPI 1982157194 is the National Provider Identifier for SAMUEL FULLER, a Social Worker - Clinical provider located in Salt Lake City, UT. This NPI was enumerated on July 25, 2016.
SAMUEL FULLER practices at 3440 S 500 E APT 88, Salt Lake City, UT 84106.
Quick Facts
- NPI
- 1982157194
- Type
- Individual
- Enumerated
- Jul 25, 2016
- Last Updated
- Jul 30, 2025
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