Individual
MRS. DAWN FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 JAMES AVE, BLOOMINGDALE, NJ 07403-1316
(973) 519-2686
Mailing address
1 JAMES AVE, BLOOMINGDALE, NJ 07403-1316
(973) 519-2686
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00564700
NJ
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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