CHAROLETTE ANN FULLER

SHREVEPORT, LA
NPI1518324086
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-01-28
Last Update Date2018-10-16
Business Address
CHAROLETTE ANN FULLER RSW
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103-4301
Phone number: 318-779-0434
Mailing Address
CHAROLETTE ANN FULLER RSW
3772 YOUREE DRIVE
SHREVEPORT, LA 71105
Phone number: 318-670-7579
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