Individual
MS. AMY SUE FULLERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
714 W COLLEGE ST, DULUTH, MN 55811-4906
(218) 728-7183
Mailing address
714 W COLLEGE ST, DULUTH, MN 55811-4906
(218) 728-7183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC00413
MN
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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