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1194113407
LASHONDA FULLER
CHICAGO, IL
NPI
1194113407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401010632)
Enumeration Date
2015-01-08
Last Update Date
2015-01-08
Business Address
Dr. LASHONDA FULLER Ph.D.
9510 S CONSTANCE AVE SUITE C-6
CHICAGO, IL 60617-4700
Phone number: 872-221-0041
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Mailing Address
Dr. LASHONDA FULLER Ph.D.
5454 S SHORE DR APT. 101
CHICAGO, IL 60615-5919
Phone number: 313-649-5008
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