EBONY FULLER

BOSSIER CITY, LA
NPI1336519677
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2015-09-29
Last Update Date2019-07-29
Business Address
EBONY FULLER
52 TURNBURY DR
BOSSIER CITY, LA 71111-8203
Phone number: 318-655-5720
Mailing Address
EBONY FULLER
52 TURNBURY DR
BOSSIER CITY, LA 71111-8203
Phone number:
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