Janet Fultz, LCSW | |
840 Interstate Dr, Grayson, KY 41143-1768 | |
(606) 329-8588 | |
Not Available |
Full Name | Janet Fultz |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 840 Interstate Dr, Grayson, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184332470 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 256518 (Kentucky) | Primary |
Entity Name | Pathways Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982615043 PECOS PAC ID: 1254239171 Enrollment ID: O20031230000043 |
Mailing Address | Practice Location Address |
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Janet Fultz, LCSW Po Box 790, Ashland, KY 41105-0790 Ph: (160) 632-9858 | Janet Fultz, LCSW 840 Interstate Dr, Grayson, KY 41143-1768 Ph: (606) 329-8588 |
Veronica Lynn Burton, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 840 Interstate Dr, Grayson, KY 41143 Phone: 866-233-1955 Fax: 606-329-1530 | |
Candy A Colyer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 207 N Carol Malone Blvd, Grayson, KY 41143 Phone: 606-225-8200 Fax: 888-606-7354 | |
Miss Alyssa Grace Robinson I, BS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 519 Lakewood Dr, Grayson, KY 41143 Phone: 606-694-9577 |