LARRY DEWITT FULLER

VILLA RICA, GA
NPI1700209327
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: GA  LPC007525)
Enumeration Date2014-02-03
Last Update Date2014-02-03
Business Address
-- LARRY DEWITT FULLER M.A.
307 OLD STONE RD
VILLA RICA, GA 30180-1214
Phone number: 770-459-8799
Mailing Address
-- LARRY DEWITT FULLER M.A.
6439 BRIARWOOD CT
RIVERDALE, GA 30296-2904
Phone number: 404-433-0307
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