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1477735934
JANE CATHERINE FULLER
MERRILLVILLE, IN
NPI
1477735934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 340033454A)
Enumeration Date
2007-11-27
Last Update Date
2007-11-27
Business Address
Ms. JANE CATHERINE FULLER LCSW
8585 BROADWAY SUITE 520
MERRILLVILLE, IN 46410-7064
Phone number: 219-942-0076
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Mailing Address
Ms. JANE CATHERINE FULLER LCSW
1040 GARFIELD ST
HOBART, IN 46342-6030
Phone number: 219-942-0076
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