JEREMY FULWILER

FERNDALE, MI
NPI1275886327
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801092862)
Enumeration Date2012-10-25
Last Update Date2013-04-01
Business Address
Mr. JEREMY FULWILER LMSW
280 W MAPLEHURST ST
FERNDALE, MI 48220-2717
Phone number: 646-420-0200
Mailing Address
Mr. JEREMY FULWILER LMSW
280 W MAPLEHURST ST
FERNDALE, MI 48220-2717
Phone number: 646-420-0200
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