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ALBERT FULLWOOD

Social Worker

NPI: 1194270405Individual

Specialties, Licenses & Credentials

Counselor — Mental Health

Code: 101YM0800X

600720427(LA)

Case Manager/Care Coordinator

Code: 171M00000X

16059(LA)

Social Worker

Code: 104100000X

16059(LA)

Contact & Hours

Address
6015 HEARNE AVE
SHREVEPORT, LA 71108

Quick Facts

NPI
1194270405
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
3
Locations
1

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