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Heather Fuller

Social Worker, Clinical in Ogden, UT. Individual provider (NPI-1).

NPI number1609596014
StatusActive
Last updated in NPPESJan 2, 2026

Details

NPI
1609596014
Entity type
Individual (NPI-1)
Name
Heather Fuller
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 29, 2022
Certification date
Jan 2, 2026
Last updated
Jan 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical13525650-3501UTYes

Practice location

670 12th St
Ogden, UT 84404-5877

Phone 801-781-5733

Mailing address

670 12th St
Ogden, UT 84404-5877

Phone 801-781-5733

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