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Individual

CARRIE FULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
1258 HIGH ST, EUGENE, OR 97401-3238
(541) 342-8437
Mailing address
3995 MARCOLA RD, SPRINGFIELD, OR 97477-7948
(541) 726-1465

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11946
OR

Other

Enumeration date
04/17/2014
Last updated
02/13/2025
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