MARIO FULTON

COVINGTON, TN
NPI1891559738
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: TN  14661)
Additional Taxonomies1041S0200X Social Worker School
Enumeration Date2024-02-12
Last Update Date2024-02-12
Business Address
MARIO FULTON LMSW
510 PAYNE AVE
COVINGTON, TN 38019-3016
Phone number: 731-612-2426
Mailing Address
MARIO FULTON LMSW
510 PAYNE AVE
COVINGTON, TN 38019-3016
Phone number: 731-612-2426
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