Samantha Fullilove
Samantha Fullilove is a Developmental Therapist in Lansing, Illinois. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
17134 Park AveLansing, IL 60438-1227
Phone: (773) 398-8683
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1306622386 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 5, 2023 |
| Last updated in NPPES | September 5, 2023 |
| Certification date | September 5, 2023 |
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