DOUGLAS RICHARD FULMER

ORLAND PARK, IL
NPI1982838124
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149013359)
Enumeration Date2009-05-02
Last Update Date2009-05-02
Business Address
-- DOUGLAS RICHARD FULMER M.Div., L.C.S.W.
11309 DISTINCTIVE DR SUITE #3
ORLAND PARK, IL 60467-9490
Phone number: 708-227-5184
Mailing Address
-- DOUGLAS RICHARD FULMER M.Div., L.C.S.W.
14514 MALLARD DR
HOMER GLEN, IL 60491-9263
Phone number: 708-227-5184
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