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1710968441
PAMELA GAIL FULLER
FORT LEAVENWORTH, KS
NPI
1710968441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: KS LSCSW 1457)
Enumeration Date
2005-11-09
Last Update Date
2007-07-08
Business Address
MS. PAMELA GAIL FULLER LSCSW
550 POPE AVE MUNSON ARMY HEALTH CENTER (ATTN: MXCN-COD, MS. COTTON)
FORT LEAVENWORTH, KS 66027-2332
Phone number: 913-684-6562
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Mailing Address
MS. PAMELA GAIL FULLER LSCSW
550 POPE AVE MUNSON ARMY HEALTH CENTER (ATTN: MXCN-COD, MS. COTTON)
FORT LEAVENWORTH, KS 66027-2332
Phone number: 913-684-6562
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