Individual
MS. LAUREL ANN FULLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
630 SW 149TH ST, SUITE 101, BURIEN, WA 98166-1901
(206) 612-0665
(206) 244-0253
Mailing address
630 SW 149TH ST, SUITE 101, BURIEN, WA 98166-1901
(206) 612-0665
(206) 244-0253
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LH60544439
WA
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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