Individual
ALISON RENEE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
30101 HOOVER RD STE 1, WARREN, MI 48093-6572
(586) 558-6868
(586) 558-6893
Mailing address
30101 HOOVER RD STE 1, WARREN, MI 48093-6572
(586) 558-6868
(586) 558-6893
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801095427
MI
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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