NPI 1366638108

Joan Ellen Fullilove, LCSWACSW

Practitioner Clinical Social Worker Jennings, LA

Practice location

Address: 1907 Johnson St, Jennings, LA 70546-3627
Phone: (337) 824-1000
Fax: (337) 824-4947
Mailing address: 1907 Johnson St, Jennings, LA 70546

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 3836 (LA)

Other Social Worker providers in Louisiana →

Registry record

NPI: 1366638108
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Sep 2007
Record last updated: 14 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.