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1568915270
CARLEEN FULLER
BERKELEY, CA
NPI
1568915270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-07-28
Last Update Date
2016-07-28
Business Address
-- CARLEEN FULLER
1816 SCENIC AVE
BERKELEY, CA 94709-1324
Phone number: 510-548-7270
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Mailing Address
-- CARLEEN FULLER
2323 HEARST AVE
BERKELEY, CA 94709-1319
Phone number: 510-548-7270
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