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1114389913
STEPHANIE FULLER
DES MOINES, IA
NPI
1114389913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 077140)
Enumeration Date
2016-03-22
Last Update Date
2016-03-22
Business Address
-- STEPHANIE FULLER LMSW
600 42ND ST
DES MOINES, IA 50312-2701
Phone number: 515-255-8399
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Mailing Address
-- STEPHANIE FULLER LMSW
600 42ND ST
DES MOINES, IA 50312-2701
Phone number: 515-255-8399
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