Thomas Brian Fulbrook LCSW

NPI 1043521545 - Social Worker - 1041C0700X

NPI Details
NPI 1043521545
Gender Male
Enumeration Date 06/29/2010
Last Updated 06/29/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
9402 W LAKE MEAD BLVD
LAS VEGAS NV, 89134-8312, US
Phone (702) 655-3859
Fax (702) 655-3859
Business Location
7840 PINNOCHIO AVE
LAS VEGAS NV, 89131-3590, US
Phone (702) 655-3859
Fax (702) 655-3859
Toxanomy
Taxonomy Code 1041C0700X
License State Nevada
License Number 5767-C
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According to our database, Mr. Thomas Brian Fulbrook LCSW NPI is 1043521545, taxonomy code is 1041C0700X and license number is 5767-C, license state is located at Nevada. Thomas Brian Fulbrook LCSW physically located at 9402 W Lake Mead Blvd, Las Vegas NV, 89134-8312. NPI Number Thomas Brian Fulbrook LCSW has the Individual type.

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1043521545 NPI number is provided on an as is basis without warranty of any kind. 1043521545 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Brian Fulbrook LCSW are for informational purposes only.