Individual
DENISE LYNN FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
705 S MAIN ST, PLYMOUTH, MI 48170-2089
(734) 985-0638
Mailing address
46592 W OAK MANOR CT, CANTON, MI 48187-5230
(734) 233-4447
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401223945
MI
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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