| NPI | 1750535787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOHN FULTON Bill Fulton Lcsw Pc 801-278-2298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 88-135506-3501) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |