BRIAN CHARLES FULLER

GLEN BURNIE, MD
NPI1801019575
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  SC1198)
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
Mr. BRIAN CHARLES FULLER MS CSGAD
122 LANGLEY ROAD NORTH SUITE B
GLEN BURNIE, MD 21060
Phone number: 410-222-0100
Mailing Address
Mr. BRIAN CHARLES FULLER MS CSGAD
122 LANGLEY ROAD NORTH SUITE B
GLEN BURNIE, MD 21060
Phone number: 410-222-0100
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