ANISSA LYNN FULLER

DOVER, OH
NPI1417123068
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: OH  I. 0008627)
Enumeration Date2008-05-05
Last Update Date2008-05-05
Business Address
ANISSA LYNN FULLER LISW
201 HOSPITAL DR
DOVER, OH 44622-2058
Phone number: 330-343-6631
Mailing Address
ANISSA LYNN FULLER LISW
201 HOSPITAL DR
DOVER, OH 44622-2058
Phone number: 330-343-6631
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