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1841390333
LISA BETH FULLER
MIAMI, FL
NPI
1841390333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY6682)
Enumeration Date
2006-09-24
Last Update Date
2013-09-04
Business Address
Dr. LISA BETH FULLER Psy.D.
2627 NE 203RD ST SUITE 214
MIAMI, FL 33180-1900
Phone number: 786-202-0474
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Mailing Address
Dr. LISA BETH FULLER Psy.D.
2627 NE 203RD ST SUITE 214
MIAMI, FL 33180-1900
Phone number: 786-202-0474
Copy
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