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1164513115
KRISTIN SWAFFER FULLER
BUFORD, GA
NPI
1164513115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW003674)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
-- KRISTIN SWAFFER FULLER LCSW
4482 COMMERCE DR SUITE 101
BUFORD, GA 30518-7512
Phone number: 678-463-3905
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Mailing Address
-- KRISTIN SWAFFER FULLER LCSW
1344 MAPLE BEND TRL
LAWRENCEVILLE, GA 30043-5270
Phone number: 678-463-3905
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