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1093577405
DENISE LYNN FULLER
PLYMOUTH, MI
NPI
1093577405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401223945)
Enumeration Date
2024-01-30
Last Update Date
2024-01-30
Business Address
DENISE LYNN FULLER LPC
705 S MAIN ST
PLYMOUTH, MI 48170-2089
Phone number: 734-985-0638
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Mailing Address
DENISE LYNN FULLER LPC
46592 W OAK MANOR CT
CANTON, MI 48187-5230
Phone number: 734-233-4447
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