Individual
ASHLEY MARIE FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
812 E JOLLY RD STE 311, LANSING, MI 48910-6825
(517) 346-8275
(517) 346-8291
Mailing address
812 E JOLLY RD STE 311, LANSING, MI 48910-6825
(517) 346-8275
(517) 346-8291
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301017646
MI
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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