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1548669443
ELIZABETH FULLER
ROCK SPRINGS, WY
NPI
1548669443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WY CAP-139)
Enumeration Date
2014-08-15
Last Update Date
2014-08-15
Business Address
Ms. ELIZABETH FULLER
2300 FOOTHILL BLVD
ROCK SPRINGS, WY 82901-5610
Phone number: 307-352-6677
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Mailing Address
Ms. ELIZABETH FULLER
2300 FOOTHILL BLVD
ROCK SPRINGS, WY 82901-5610
Phone number: 307-352-6677
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