KOREY FULLER

BOSSIER CITY, LA
NPI1962874016
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-10-28
Last Update Date2015-10-28
Business Address
-- KOREY FULLER
52 TURNBURY DR
BOSSIER CITY, LA 71111-8203
Phone number: 318-834-6048
Mailing Address
-- KOREY FULLER
52 TURNBURY DR
BOSSIER CITY, LA 71111-8203
Phone number: 318-834-6048
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