Sherry Vampran Fuller | Farmington, MO • PECOS Search

Sherry Vampran Fuller

Social Worker

Behavioral Health & Social Service Providers

1085 Maple St, Farmington, MO 63640-1955

(573) 747-2469 (573) 756-5353

PECOS Enrollment

Based on the most recent information from CMS, provider Sherry Vampran Fuller does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:13 AM.

Profile Details

Provider ID
1508872011
Provider Type
Individual
Full Name
Fuller, Sherry Vampran
Title
Ms.
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
8/1/2006
Last Updated
7/8/2007

Contact Information

Practice Location

1085 Maple St, Farmington, MO 63640-1955

Unlisted Fax

Mailing Location

1430 Olive St, Suite 400, Saint Louis, MO 63103-2303

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 2004014808 Missouri