JACKIE E FULLER-WOOSTER

OTTAWA, KS
NPI1134351703
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: KS  T-LMSW 7563)
Enumeration Date2009-08-17
Last Update Date2009-08-17
Business Address
-- JACKIE E FULLER-WOOSTER T-LMSW
204 E 15TH ST
OTTAWA, KS 66067-3903
Phone number: 785-242-3780
Mailing Address
-- JACKIE E FULLER-WOOSTER T-LMSW
2537 EISENHOWER RD PO BOX 677
OTTAWA, KS 66067-9482
Phone number: 785-242-3780