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1881264661
AMYEISHIA FULLER
COLUMBIA, SC
NPI
1881264661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-06-25
Last Update Date
2021-06-25
Business Address
AMYEISHIA FULLER
1421 BLUFF RD
COLUMBIA, SC 29201-4809
Phone number: 800-805-6989
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Mailing Address
AMYEISHIA FULLER
1421 BLUFF RD
COLUMBIA, SC 29201-4809
Phone number:
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