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1023756467
KAITLYN FULLER
VANCOUVER, WA
NPI
1023756467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG61308790)
Enumeration Date
2022-05-25
Last Update Date
2022-05-25
Business Address
KAITLYN FULLER
3200 NE 109TH AVE
VANCOUVER, WA 98682-7749
Phone number: 360-695-1014
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Mailing Address
KAITLYN FULLER
3200 NE 109TH AVE
VANCOUVER, WA 98682-7749
Phone number: 360-695-1014
Copy
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