NORMAN FULLER

KENT, WA
NPI1861907008
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60610194)
Enumeration Date2017-12-11
Last Update Date2022-01-28
Business Address
Mr. NORMAN FULLER SUDP
21851 84TH AVE S
KENT, WA 98032-1958
Phone number: 206-223-3644
Mailing Address
Mr. NORMAN FULLER SUDP
21851 84TH AVE S
KENT, WA 98032-1958
Phone number:
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