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1912451808
CHRISTY GAIL FULLER
RENTON, WA
NPI
1912451808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW00004869)
Enumeration Date
2016-08-08
Last Update Date
2016-08-08
Business Address
Ms. CHRISTY GAIL FULLER LICSW
955 POWELL AVE SW
RENTON, WA 98057-2908
Phone number: 425-203-0972
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Mailing Address
Ms. CHRISTY GAIL FULLER LICSW
955 POWELL AVE SW
RENTON, WA 98057-2908
Phone number: 425-203-0972
Copy
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