Doctor Name: | MRS. JOAN T. FULBRIGHT |
NPI Number: | 1538385273 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CSW002853 |
Business Practice Address: | 685 Hollywood Hwy Clarkesville, GA - 305234732 |
Business Phone Number: | 7067543961 |
Business Fax Number: | |
Mailing Address: | 685 Hollywood Hwy, CLARKESVILLE |
State: | GA |
Postal Code: | 305234732 |
Phone Number: | 7067543961 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CSW002853 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |