Individual
FRANCES FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
707 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102
(505) 345-8471
Mailing address
707 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102-2360
(505) 345-8471
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-09363
NM
Other
Enumeration date
01/13/2016
Last updated
06/12/2018
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