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1891702767
LOUISE ELLA FULLERTON
SALEM, OR
NPI
1891702767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OR C0696)
Enumeration Date
2006-08-02
Last Update Date
2007-07-08
Business Address
LOUISE ELLA FULLERTON LPC
290 MOYER LN NW EASTER SEAS CHILDREN'S GUILD
SALEM, OR 97304
Phone number: 503-370-8990
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Mailing Address
LOUISE ELLA FULLERTON LPC
710 STEWART ST NE
SALEM, OR 97301-2515
Phone number: 503-371-7496
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