SAMUEL FULLER

Clinical Social Worker

NPI: 1982157194Individual

Specialties, Licenses & Credentials

Social Worker

Code: 104100000X

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

12920621-3501(UT)

Contact & Hours

Address: 3440 S 500 E APT 88
SALT LAKE CITY, UT 84106
Phone: (801) 773-7060

Quick Facts

NPI: 1982157194
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1

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