ALLEN FULLER

LARGO, MD
NPI1073347076
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  AC1689)
Enumeration Date2024-08-30
Last Update Date2024-08-30
Business Address
ALLEN FULLER
9500 MEDICAL CENTER DR STE 104
LARGO, MD 20774-3703
Phone number: 240-334-4394
Mailing Address
ALLEN FULLER
9500 MEDICAL CENTER DR STE 104
LARGO, MD 20774-3703
Phone number: 240-334-4394
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