TAMMIE LEETTA FULLMAN

NEW BRIGHTON, MN
NPI1184247660
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-05-19
Last Update Date2020-05-19
Business Address
TAMMIE LEETTA FULLMAN
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112-1786
Phone number: 651-746-2392
Mailing Address
TAMMIE LEETTA FULLMAN
10960 FERGUS ST NE UNIT C
BLAINE, MN 55449-5082
Phone number: 612-275-0045
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