CIARRA N FULLER

CHUBBUCK, ID
NPI1265101927
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LMSW-40893)
Enumeration Date2021-09-07
Last Update Date2021-09-07
Business Address
CIARRA N FULLER LMSW
210 W BURNSIDE AVE STE A
CHUBBUCK, ID 83202-4916
Phone number: 208-238-9000
Mailing Address
CIARRA N FULLER LMSW
830 E LANDER ST
POCATELLO, ID 83201-5763
Phone number: 208-740-9234
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