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1477105294
ERIC FULLEN
GRAND RAPIDS, MI
NPI
1477105294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2019-07-11
Last Update Date
2024-10-11
Business Address
ERIC FULLEN LMSW
790 FULLER AVE NE
GRAND RAPIDS, MI 49503-1918
Phone number: 616-336-3909
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Mailing Address
ERIC FULLEN LMSW
790 FULLER AVE NE
GRAND RAPIDS, MI 49503-1918
Phone number:
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