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1780634196
THERESA K FULLHART
DECORAH, IA
NPI
1780634196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 05866)
Enumeration Date
2006-05-10
Last Update Date
2010-08-18
Business Address
Ms. THERESA K FULLHART MSW
905 MONTGOMERY STREET
DECORAH, IA 52101
Phone number: 563-382-3649
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Mailing Address
Ms. THERESA K FULLHART MSW
905 MONTGOMERY ST
DECORAH, IA 52101-2325
Phone number: 563-382-3649
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