Samuel Fuller
Samuel Fuller is a Social Worker in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2016.
- Licensed in
- UT
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
3440 S 500 E Apt 88Salt Lake City, UT 84106-1280
Phone: (801) 773-7060
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 12920621-3501 (UT) |
|---|---|
| Social Worker | Taxonomy 104100000X |
Record details
| NPI number | 1982157194 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 25, 2016 |
| Last updated in NPPES | July 30, 2025 |
| Certification date | July 30, 2025 |
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