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1477635860
JUDY L FULLER
WOODRUFF, WI
NPI
1477635860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 13950)
Enumeration Date
2006-10-19
Last Update Date
2007-07-09
Business Address
-- JUDY L FULLER RADCI
240 MAPLE STREET
WOODRUFF, WI 54568-0470
Phone number: 715-356-8000
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Mailing Address
-- JUDY L FULLER RADCI
PO BOX 470
WOODRUFF, WI 54568-0470
Phone number: 715-356-8000
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