THERESA K FULLHART

DECORAH, IA
NPI1780634196
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IA  05866)
Enumeration Date2006-05-10
Last Update Date2010-08-18
Business Address
Ms. THERESA K FULLHART MSW
905 MONTGOMERY STREET
DECORAH, IA 52101
Phone number: 563-382-3649
Mailing Address
Ms. THERESA K FULLHART MSW
905 MONTGOMERY ST
DECORAH, IA 52101-2325
Phone number: 563-382-3649