MARK P FULLER

KESHENA, WI
NPI1780859744
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  3082-123)
Enumeration Date2008-04-29
Last Update Date2016-03-18
Business Address
-- MARK P FULLER LCSW, SAC, ICS,
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Phone number: 715-799-5451
Mailing Address
-- MARK P FULLER LCSW, SAC, ICS,
PO BOX 970
KESHENA, WI 54135-0970
Phone number: 715-799-5451
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