CHARLES FULLER, III

HOLYOKE, MA
NPI1053551036
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2009-03-03
Last Update Date2009-03-03
Business Address
-- CHARLES FULLER, III
319 BEECH ST
HOLYOKE, MA 01040-3925
Phone number: 413-540-1155
Mailing Address
-- CHARLES FULLER, III
745 STATION RD
AMHERST, MA 01002-3420
Phone number:
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