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1790546323
LISA FULLER
ALBUQUERQUE, NM
NPI
1790546323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM SWB-2024-0077)
Enumeration Date
2024-01-22
Last Update Date
2024-01-22
Business Address
LISA FULLER LCSW
18 TIERRA MONTE ST NE
ALBUQUERQUE, NM 87122-2102
Phone number: 505-249-1669
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Mailing Address
LISA FULLER LCSW
18 TIERRA MONTE ST NE
ALBUQUERQUE, NM 87122-2102
Phone number: 505-249-1669
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