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Individual

CLAIRE FULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LGSW, LMSW

Contact information

Practice address
7412 GEORGIA AVE NW STE 4, WASHINGTON, DC 20012-1754
(202) 283-1690
Mailing address
7412 GEORGIA AVE NW STE 4, WASHINGTON, DC 20012-1754
(202) 283-1690

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
28537
MD
101YM0800X
Mental Health Counselor
Primary
LG200001598
DC

Other

Enumeration date
05/26/2022
Last updated
05/26/2022
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