Individual
MRS. DONNA J FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.L.P.
Contact information
Practice address
301 S CRAPO ST, SUITE 300, MT PLEASANT, MI 48858-2941
(989) 772-5938
(989) 779-2371
Mailing address
301 S CRAPO ST, SUITE 300, MT PLEASANT, MI 48858-2941
(989) 772-5938
(989) 779-2371
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301005021
MI
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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