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1013548213
REBECCA SUE FULLER
EUGENE, OR
NPI
1013548213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: OR C3586)
Enumeration Date
2020-01-28
Last Update Date
2020-01-28
Business Address
REBECCA SUE FULLER MA, LPC
132 E BROADWAY STE 301
EUGENE, OR 97401-3154
Phone number: 541-579-8644
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Mailing Address
REBECCA SUE FULLER MA, LPC
1945 HARVEY RD
COTTAGE GROVE, OR 97424-1286
Phone number: 503-803-4867
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