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1942213640
LESLIE ALAINE FULLER
MEMPHIS, TN
NPI
1942213640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN 0000000200)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
Ms. LESLIE ALAINE FULLER LCSW
1030 JEFFERSON AVE 614/116A3
MEMPHIS, TN 38104-2193
Phone number: 901-523-8990
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Mailing Address
Ms. LESLIE ALAINE FULLER LCSW
1030 JEFFERSON AVE 614/116A3
MEMPHIS, TN 38104-2193
Phone number: 901-523-8990
Copy
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