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1891823456
ANTHONY BLAIR FULLER
KNOXVILLE, TN
NPI
1891823456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TN 1700)
Enumeration Date
2007-03-02
Last Update Date
2019-03-08
Business Address
ANTHONY BLAIR FULLER LPC, MHSP
3457 KINGSTON PIKE
KNOXVILLE, TN 37919-4633
Phone number: 865-207-5841
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Mailing Address
ANTHONY BLAIR FULLER LPC, MHSP
7023 ROCKINGHAM DR
KNOXVILLE, TN 37909-2525
Phone number: 865-207-5841
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