Fuller, Pagrita Compagaris
Fuller, Pagrita Compagaris is an individual health care provider with primary practice located at 8335 Office Park Dr , Douglasville GA 30134-6937. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fuller, Pagrita Compagaris can be contacted via phone (678) 324-0476.Contact Information
Primary practice address
8335 Office Park Dr
Douglasville GA 30134-6937
Phone: (678) 324-0476
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW006034 | Georgia |
Profile Details
| NPI number | 1215462718 |
|---|---|
| LBN Legal business name | Fuller, Pagrita Compagaris |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2017 |
| Last updated | Apr 22nd, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215462718 | NPPES |
| Georgia | Other | CSW006043 | GA COMPOSITE BOARD OF PC, SW,, AND MFT |
| Georgia | Other | MSW005939 | GA COMPOSITE BOARD OF PC, SW,, AND MFT |
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