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1306489919
ELLE KATHRYN-FORBES FULTZ
GILBERT, AZ
NPI
1306489919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LPC-18277)
Enumeration Date
2019-10-26
Last Update Date
2019-10-26
Business Address
ELLE KATHRYN-FORBES FULTZ
2730 S VAL VISTA DR STE 137
GILBERT, AZ 85295-1681
Phone number: 480-313-4535
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Mailing Address
ELLE KATHRYN-FORBES FULTZ
1012 W INDIGO ST
MESA, AZ 85201-2049
Phone number: 480-313-4535
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