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Individual
LORIE A FULLER
Active
Individual
LORIE A FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
NLC0104462
CO
101YP2500X
Professional Counselor
Primary
0014857
CO
Other
Enumeration date
04/27/2016
Last updated
12/28/2021
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