Nicaler Pashanna Fuller
Social Worker in Snellville, GA. Individual provider (NPI-1).
NPI number1225823784
StatusActive
Last updated in NPPESApr 14, 2025
Details
- NPI
- 1225823784
- Entity type
- Individual (NPI-1)
- Name
- Nicaler Pashanna Fuller
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2025
- Certification date
- Apr 14, 2025
- Last updated
- Apr 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | msw012374 | – | Yes |
Practice location
2645 Wildflower LnSnellville, GA 30039-4089
Phone 912-604-3074
Mailing address
2645 Wildflower LnSnellville, GA 30039-4089
Phone 912-604-3074
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All 15 Social Worker providers in Snellville · All 2,401 providers in Snellville
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