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1336867670
LISA FULLER
SEARCY, AR
NPI
1336867670
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Former Name
LISA BURLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: AR A2206021)
Enumeration Date
2022-08-22
Last Update Date
2022-08-22
Business Address
LISA FULLER LAC
1507 E RACE AVE
SEARCY, AR 72143-4661
Phone number: 501-305-2359
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Mailing Address
LISA FULLER LAC
1815 PLEASANT GROVE RD
JONESBORO, AR 72405-7870
Phone number: 870-933-6886
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