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1154838910
LISA MARIE VULLO
PORT CHARLOTTE, FL
NPI
1154838910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW6123)
Enumeration Date
2018-01-02
Last Update Date
2018-01-02
Business Address
Ms. LISA MARIE VULLO LCSW
3432 DEPEW AVE
PORT CHARLOTTE, FL 33952-7015
Phone number: 848-422-9245
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Mailing Address
Ms. LISA MARIE VULLO LCSW
26314 ASUNCION DR
PUNTA GORDA, FL 33983-5357
Phone number: 941-875-5948
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