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1982950929
LAURA A FULLER
PONTIAC, MI
NPI
1982950929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401013190)
Enumeration Date
2012-07-27
Last Update Date
2014-12-29
Business Address
-- LAURA A FULLER MS, LPC, ATR
114 ORCHARD LAKE RD
PONTIAC, MI 48341-2244
Phone number: 248-858-7766
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Mailing Address
-- LAURA A FULLER MS, LPC, ATR
114 ORCHARD LAKE RD
PONTIAC, MI 48341-2244
Phone number: 248-858-7766
Copy
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