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1801412994
MONETH FULLER
DETROIT, MI
NPI
1801412994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-06-24
Last Update Date
2020-06-24
Business Address
MONETH FULLER
15025 FENKELL ST
DETROIT, MI 48227-2647
Phone number: 313-340-2791
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Mailing Address
MONETH FULLER
15025 FENKELL ST
DETROIT, MI 48227-2647
Phone number: 313-340-2791
Copy
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