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1831506377
DAVID DANIEL FULLER
LIVERMORE, CA
NPI
1831506377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW79530)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2014-07-16
Last Update Date
2019-05-20
Business Address
Mr. DAVID DANIEL FULLER LCSW79530
4951 ARROYO RD
LIVERMORE, CA 94550-9650
Phone number: 510-693-7403
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Mailing Address
Mr. DAVID DANIEL FULLER LCSW79530
4951 ARROYO RD
LIVERMORE, CA 94550-9650
Phone number: 510-693-7403
Copy
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