Individual
MRS. LAURA DICKERSON FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
355 HELENA MORIAH RD, TIMBERLAKE, NC 27583-9542
(336) 364-7715
Mailing address
304 S MORGAN ST, ROXBORO, NC 27573-5245
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30002120
NC
235Z00000X
Speech-Language Pathologist
Primary
30002876
NC
Other
Enumeration date
03/06/2026
Last updated
03/11/2026
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