Individual
PHOEBE G FULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 N CENTRAL AVE, MONETT, MO 65708
(417) 236-0340
Mailing address
713 SW C AVE, LAWTON, OK 73501-4311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
10/18/2023
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