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Individual

ROBYN JOYCE FULLERTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., LPC

Contact information

Practice address
1305 S COUNTY CLUB RD, MUSKOGEE, OK 74403-7802
(918) 686-5588
Mailing address
519 VALHALLA DR, MUSKOGEE, OK 74403-8517

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4049
OK

Other

Enumeration date
10/20/2009
Last updated
10/20/2009
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