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Individual

ELIZABETH ROSE FULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
201 RIGGS ST, WEST MONROE, LA 71291-2640
(318) 387-8420
(318) 387-7719
Mailing address
201 RIGGS ST, WEST MONROE, LA 71291-2640
(318) 387-8420
(318) 387-7719

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2846
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2846
LICENSED PROFESSIONAL COUNSELOR LICENSE #
LA
Enumeration date
12/13/2011
Last updated
12/13/2011
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