KATINA FELISA FULLER

VILLA RICA, GA
NPI1598546194
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW007891)
Enumeration Date2023-10-10
Last Update Date2023-10-10
Business Address
Dr. KATINA FELISA FULLER DSW, LCSW, CCM
212 BONNIE SUE DR
VILLA RICA, GA 30180-5517
Phone number: 678-739-8497
Mailing Address
Dr. KATINA FELISA FULLER DSW, LCSW, CCM
212 BONNIE SUE DR
VILLA RICA, GA 30180-5517
Phone number: 678-739-8497
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