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1164763579
NICOLE RENEE FULLERTON
COLORADO SPRINGS, CO
NPI
1164763579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: KY 6986)
Enumeration Date
2013-03-11
Last Update Date
2014-07-08
Business Address
Mrs. NICOLE RENEE FULLERTON MSW, CSW
25 N SPRUCE ST
COLORADO SPRINGS, CO 80905-1436
Phone number: 719-227-4207
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Mailing Address
Mrs. NICOLE RENEE FULLERTON MSW, CSW
2252 PINYON JAY DR
COLORADO SPRINGS, CO 80951-4707
Phone number: 502-741-6655
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