RIDGELY PLATER FULLER

WALTHAM, MA
NPI1629120514
Former NameRIDGELY PLATER FULLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MA  100368)
Enumeration Date2007-01-18
Last Update Date2007-07-08
Business Address
MS. RIDGELY PLATER FULLER
4 RIVERVIEW AVE
WALTHAM, MA 02453-3818
Phone number: 781-790-1419
Mailing Address
MS. RIDGELY PLATER FULLER
4 RIVERVIEW AVE
WALTHAM, MA 02453-3818
Phone number: 781-790-1419