JOANN FULLER

PORTLAND, ME
NPI1275803702
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ME  XL3862)
Enumeration Date2011-12-30
Last Update Date2011-12-30
Business Address
Ms. JOANN FULLER
470 FOREST AVE SUITE 202
PORTLAND, ME 04101
Phone number: 207-774-3570
Mailing Address
Ms. JOANN FULLER
179 PEPPERRELL RD
KITTERY POINT, ME 03905-5114
Phone number: 207-439-9160
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