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1417123068
ANISSA LYNN FULLER
DOVER, OH
NPI
1417123068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I. 0008627)
Enumeration Date
2008-05-05
Last Update Date
2008-05-05
Business Address
-- ANISSA LYNN FULLER LISW
201 HOSPITAL DR
DOVER, OH 44622-2058
Phone number: 330-343-6631
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Mailing Address
-- ANISSA LYNN FULLER LISW
201 HOSPITAL DR
DOVER, OH 44622-2058
Phone number: 330-343-6631
Copy
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