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1205046398
MONICA ANNE FULLERTON
LAS CRUCES, NM
NPI
1205046398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-06460)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
-- MONICA ANNE FULLERTON LISW
3751 DEL REY BLVD
LAS CRUCES, NM 88012-7710
Phone number: 505-556-7884
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Mailing Address
-- MONICA ANNE FULLERTON LISW
414 KEATHLEY DR
LAS CRUCES, NM 88005-1614
Phone number: 505-649-8023
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