Individual
ARTHUR FULDAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
1500 IDALIA BLDG B, BERNALILLO, NM 87004-6303
(505) 867-2291
(505) 867-0107
Mailing address
1500 IDALIA BLDG B, BERNALILLO, NM 87004-6303
(505) 867-2291
(505) 867-0107
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-2249
NM
1041C0700X
Clinical Social Worker
I-2249
NM
171M00000X
Case Manager/Care Coordinator
I-2249
NM
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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