NORMAN FULLER

TACOMA, WA
NPI1861907008
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60610194)
Enumeration Date2017-12-11
Last Update Date2025-12-21
Business Address
Mr. NORMAN FULLER SUDP
3629 S D ST
TACOMA, WA 98418-6813
Phone number: 253-649-1500
Mailing Address
Mr. NORMAN FULLER SUDP
3629 S D ST
TACOMA, WA 98418-6813
Phone number: 253-649-1500
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