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Barbara B Fuller, Lcsw,p.A.

Social Worker, Clinical in Orlando, FL. Organization (NPI-2).

NPI number1245355239
StatusActive
Last updated in NPPESDec 29, 2015

Details

NPI
1245355239
Entity type
Organization (NPI-2)
Legal business name
Barbara B Fuller, Lcsw,p.A.
Organization subpart
No
Enumeration date
Mar 20, 2007
Last updated
Dec 29, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalSW0000857FLYes
101YA0400X Counselor, Addiction (Substance Use Disorder)0748AD363501FL

Practice location

800 N Ferncreek Ave
Suite 2
Orlando, FL 32803-4127

Phone 407-894-5666 · Fax 407-898-9321

Mailing address

800 N Ferncreek Ave
Suite 2
Orlando, FL 32803-4127

Phone 407-894-5666 · Fax 407-898-9321

Authorized official

Barbara B Fuller
President
4078945666

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