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1942950779
BRIAN WARNER FULKERSON
CHATTANOOGA, TN
NPI
1942950779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-03-25
Last Update Date
2022-03-25
Business Address
BRIAN WARNER FULKERSON BA
2347 ROSSVILLE BLVD
CHATTANOOGA, TN 37408-2250
Phone number: 423-602-2250
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Mailing Address
BRIAN WARNER FULKERSON BA
2347 ROSSVILLE BLVD
CHATTANOOGA, TN 37408-2250
Phone number: 423-602-2250
Copy
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