WELDON FULLER

LOUISVILLE, KY
NPI1083747455
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  128)
Enumeration Date2007-03-14
Last Update Date2007-07-08
Business Address
-- WELDON FULLER
600 S PRESTON ST
LOUISVILLE, KY 40202-1716
Phone number: 502-589-1100
Mailing Address
-- WELDON FULLER
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number: 502-589-8600
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