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1386255453
ANITA LYNNE FULMER
FORT WORTH, TX
NPI
1386255453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 12505)
Enumeration Date
2020-08-12
Last Update Date
2020-08-12
Business Address
ANITA LYNNE FULMER LCDC
6270 SALEM CIR APT 120
FORT WORTH, TX 76132-3003
Phone number: 936-615-8595
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Mailing Address
ANITA LYNNE FULMER LCDC
6270 SALEM CIR APT 120
FORT WORTH, TX 76132-3003
Phone number: 936-615-8595
Copy
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