CONSTANCE L FULLER

JACKSON, MS
NPI1700156676
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MS  C2323)
Enumeration Date2012-01-09
Last Update Date2012-01-09
Business Address
CONSTANCE L FULLER LCSW
5760 I 55 N SUITE 450
JACKSON, MS 39211-2651
Phone number: 601-956-4816
Mailing Address
CONSTANCE L FULLER LCSW
5760 I 55 N SUITE 450
JACKSON, MS 39211-2651
Phone number: 601-956-4816
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