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NPI Profile for MELODY FULLER in ROCKLIN, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
1041S0200X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker |
| NPI Number | 1710701925 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/13/2024 | |
| Last updated | 11/13/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MELODY FULLER
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MELODY FULLER