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1649747205
LISA KIM FULFOR
ALLEN, TX
NPI
1649747205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 60055)
Enumeration Date
2018-10-31
Last Update Date
2018-10-31
Business Address
Ms. LISA KIM FULFOR LCSW
1333 W MCDERMOTT DR
ALLEN, TX 75013-3090
Phone number: 469-998-1989
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Mailing Address
Ms. LISA KIM FULFOR LCSW
13254 LIME RIDGE DR
FRISCO, TX 75033-0938
Phone number: 214-316-0924
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