MR. Fullard Dee Foreman JR., BA

NPI #1912307380 in Collinsville, Oklahoma

Provider Information

NPI Number: 1912307380
Entity Type: Individual
Name: MR. Fullard Dee Foreman JR., BA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: BA
Enumeration Date: Sep 3, 2014
Last Updated: Sep 3, 2014

Practice Location

Address: 13952 N 147TH EAST AVE
City: Collinsville
State: Oklahoma
ZIP Code: 74021-5690
Phone: (918) 344-2536

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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