Individual
MS. BRONWEN JESSAMINE FULLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
27 HOLLIS ST, FRAMINGHAM, MA 01702-8615
(508) 935-0769
Mailing address
29 LASELL ST, AUBURNDALE, MA 02466-2602
(617) 244-8836
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5332
MA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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