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1558522045
MARY FULLERTON
GAINESVILLE, FL
NPI
1558522045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW 6195)
Enumeration Date
2008-06-18
Last Update Date
2008-06-18
Business Address
Ms. MARY FULLERTON LCSW
1601 SW ARCHER RD
GAINESVILLE, FL 32608-1135
Phone number: 352-376-1611
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Mailing Address
Ms. MARY FULLERTON LCSW
1601 SW ARCHER RD
GAINESVILLE, FL 32608-1135
Phone number:
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