PAMELA GAIL FULLER

FORT LEAVENWORTH, KS
NPI1710968441
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: KS  LSCSW 1457)
Enumeration Date2005-11-09
Last Update Date2007-07-08
Business Address
MS. PAMELA GAIL FULLER LSCSW
550 POPE AVE MUNSON ARMY HEALTH CENTER (ATTN: MXCN-COD, MS. COTTON)
FORT LEAVENWORTH, KS 66027-2332
Phone number: 913-684-6562
Mailing Address
MS. PAMELA GAIL FULLER LSCSW
550 POPE AVE MUNSON ARMY HEALTH CENTER (ATTN: MXCN-COD, MS. COTTON)
FORT LEAVENWORTH, KS 66027-2332
Phone number: 913-684-6562