Full 360 | |
1633 Keeler Ave Beloit WI 53511-4713 | |
(608) 718-6304 | |
Not Available |
Full Name | Full 360 |
---|---|
Speciality | Social Worker |
Location | 1633 Keeler Ave, Beloit, Wisconsin |
Authorized Official Name and Position | Porscha Nalan (CO-FOUNDER) |
Authorized Official Contact | 6087186304 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Full 360 946 Kenwood Ave Beloit WI 53511-6052 Ph: () - | Full 360 1633 Keeler Ave Beloit WI 53511-4713 Ph: (608) 718-6304 |
NPI Number | 1851085815 |
---|---|
Provider Enumeration Date | 06/05/2023 |
Last Update Date | 06/05/2023 |
Certification Date | 06/04/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851085815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
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