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1538257928
EMMETT FRAZER FULLER
MARIETTA, GA
NPI
1538257928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA 001674)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
-- EMMETT FRAZER FULLER MA, LPC
122 CHERRY ST NE
MARIETTA, GA 30060-7206
Phone number: 770-427-2911
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Mailing Address
-- EMMETT FRAZER FULLER MA, LPC
899 BURNS DR SE
MARIETTA, GA 30067-7111
Phone number: 770-321-3424
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