STEPHANIE FULLER

DES MOINES, IA
NPI1114389913
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IA  077140)
Enumeration Date2016-03-22
Last Update Date2016-03-22
Business Address
-- STEPHANIE FULLER LMSW
600 42ND ST
DES MOINES, IA 50312-2701
Phone number: 515-255-8399
Mailing Address
-- STEPHANIE FULLER LMSW
600 42ND ST
DES MOINES, IA 50312-2701
Phone number: 515-255-8399