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1508872011
SHERRY VAMPRAN FULLER
FARMINGTON, MO
NPI
1508872011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2004014808)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
Ms. SHERRY VAMPRAN FULLER LCSW
1085 MAPLE ST
FARMINGTON, MO 63640-1955
Phone number: 573-747-2469
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Mailing Address
Ms. SHERRY VAMPRAN FULLER LCSW
1430 OLIVE ST SUITE 400
SAINT LOUIS, MO 63103-2303
Phone number: 573-756-5353
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