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1396147849
JESSICA FULLENKAMP
HIGHLAND PARK, MI
NPI
1396147849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801092723)
Enumeration Date
2014-09-16
Last Update Date
2014-09-16
Business Address
-- JESSICA FULLENKAMP
77 VICTOR ST
HIGHLAND PARK, MI 48203-3127
Phone number: 313-252-1950
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Mailing Address
-- JESSICA FULLENKAMP
77 VICTOR ST
HIGHLAND PARK, MI 48203-3127
Phone number: 313-252-1950
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