| NPI | 1730668716 |
|---|---|
| Doing Business As | ANDREA FULLERTON, LCSW |
| Entity Type | Organization |
| Authorized Contact | ANDREA FULLERTON Private Practice Owner And Therapis 312-508-1204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2023-11-09 |