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1639102411
PAUL FULLERTON
SAINT CHARLES, MO
NPI
1639102411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251B00000X Case Management
(Licence: MO 000484)
Enumeration Date
2006-07-08
Last Update Date
2007-07-08
Business Address
Mr. PAUL FULLERTON LCSW, MSW
2800 ELM ST
SAINT CHARLES, MO 63301-4618
Phone number: 314-787-5100
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Mailing Address
Mr. PAUL FULLERTON LCSW, MSW
8631 DELMAR BLVD
SAINT LOUIS, MO 63124-1990
Phone number: 314-787-5100
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