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1114378254
BRIDGET FULLER
DETROIT, MI
NPI
1114378254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-06-30
Last Update Date
2016-06-30
Business Address
-- BRIDGET FULLER
14041 SAN JUAN DR
DETROIT, MI 48238-2538
Phone number: 313-919-3205
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Mailing Address
-- BRIDGET FULLER
14041 SAN JUAN DR
DETROIT, MI 48238-2538
Phone number:
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