Individual provider · Type 1 NPI
Melody Fuller
School Social Worker · Rocklin, CA
NPI number
1710701925
Active
Practice location
655 Menlo Dr
Rocklin, CA 95765-3718
Mailing address
11230 Gold Express Dr # 310-119
Gold River, CA 95670-4484
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 119209 (CA) |
| School Social Worker Primary | 1041S0200X | 240225121 (CA) |
School Social Worker: Definition to come...
Another provider at this address
About NPI 1710701925
Melody Fuller's National Provider Identifier is 1710701925, issued on Nov 13, 2024. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Rocklin, CA. The record was last updated on Nov 13, 2024.