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1053472514
DALE W FULLER
SYRACUSE, NY
NPI
1053472514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R033210)
Enumeration Date
2006-12-12
Last Update Date
2013-10-31
Business Address
Mr. DALE W FULLER LCSW
742 JAMES STREET
SYRACUSE, NY 13203
Phone number: 315-703-2700
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Mailing Address
Mr. DALE W FULLER LCSW
742 JAMES STREET ST JOSEPHS HOSPITAL HEALTH CENTER MENTAL HEALTH CENTER
SYRACUSE, NY 13203
Phone number: 315-703-2700
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