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Tayna Fullerton, LLBSW
NPI 1992356448 · on the registry since 2019
Practice
- Address
- 400 Johnson St
Alpena, MI 49707 - Phone
- (989) 356-2161
- Organisation at this address
- Northeast Michigan Community Mental Health Authority
Northeast Michigan Community Mental Health AuthorityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 170
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan