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1669686853
CORNELIUS FULLER
DETROIT, MI
NPI
1669686853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6802033061)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
Mr. CORNELIUS FULLER LBSW
3011 W GRAND BLVD
DETROIT, MI 48202-3096
Phone number: 313-263-2456
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Mailing Address
Mr. CORNELIUS FULLER LBSW
3800 WOODWARD AVE STE 600
DETROIT, MI 48201-2061
Phone number:
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