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Individual

SANDRA FULLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19814 ATASCOCITA SHORES DR, HUMBLE, TX 77346-2343
(832) 772-4292
Mailing address
409 BROAD RIPPLE DR, HUFFMAN, TX 77336-2877
(281) 620-4826

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary

Other

Enumeration date
01/15/2016
Last updated
01/15/2016
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