Deidra Fuller

NPI #1558946319 in Midland, Texas

Provider Information

NPI Number
1558946319
Entity Type
Individual
Name
Deidra Fuller
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Mar 13, 2021
Last Updated
Mar 13, 2021

Practice Location

Address
2711 DELANO AVE
State
Texas
ZIP Code
79701-3102
Phone
(432) 816-2680

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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