Kristin Fuller's National Provider Identifier (NPI) Details
Kristin Fuller, LCSW
NPI: 1164513115
Enumeration Date: 2006-09-27
Last updated: 2007-07-08
Sole Proprietor: NO
Status: active
Postal Address: 1344 MAPLE BEND TRL, LAWRENCEVILLE, GA
Phone: 678-463-3905
Primary Practice Address: 4482 COMMERCE DR, SUITE 101, BUFORD, GA
Practice's phone: 678-463-3905