JACQUELINE L FULLER

BALTIMORE, MD
NPI1144917501
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  ADT2363)
Enumeration Date2023-04-18
Last Update Date2023-04-18
Business Address
JACQUELINE L FULLER
821 N EUTAW ST STE 201
BALTIMORE, MD 21201-6301
Phone number: 410-225-9185
Mailing Address
JACQUELINE L FULLER
27 TIMBER GROVE RD
OWINGS MILLS, MD 21117-1820
Phone number: 443-965-8726
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