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Individual
MRS. KATHRYN ELIZABETH FULLER
Active
Individual
MRS. KATHRYN ELIZABETH FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA, ATR-P
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10900
SC
221700000X
Art Therapist
26003
SC
Other
Enumeration date
05/30/2026
Last updated
05/30/2026
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