LISA FULLER

ALBUQUERQUE, NM
NPI1790546323
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  SWB-2024-0077)
Enumeration Date2024-01-22
Last Update Date2024-01-22
Business Address
LISA FULLER LCSW
18 TIERRA MONTE ST NE
ALBUQUERQUE, NM 87122-2102
Phone number: 505-249-1669
Mailing Address
LISA FULLER LCSW
18 TIERRA MONTE ST NE
ALBUQUERQUE, NM 87122-2102
Phone number: 505-249-1669