Individual
CECELIA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
118 S GREENVILLE WEST DR STE B, GREENVILLE, MI 48838-3554
(616) 805-3660
Mailing address
13150 SPRUCE RIDGE RD, GOWEN, MI 49326-9566
(517) 303-0373
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851119228
MI
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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