SAMUEL FULLER

SALT LAKE CITY, UT
NPI1982157194
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  12920621-3501)
Additional Taxonomies104100000X Social Worker
Enumeration Date2016-07-25
Last Update Date2025-07-30
Business Address
SAMUEL FULLER
3440 S 500 E APT 88
SALT LAKE CITY, UT 84106-1280
Phone number: 801-773-7060
Mailing Address
SAMUEL FULLER
3440 S 500 E APT 88
SALT LAKE CITY, UT 84106-1280
Phone number: