Individual
ADRIENNE DORIES FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 CENTER ST, APEX, NC 27502-7026
(984) 246-9080
Mailing address
208 S 17TH ST, ERWIN, NC 28339-1702
(910) 760-5017
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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