Individual
MS. ALEXIS FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1130 S CANAL ST, CHICAGO, IL 60607-5058
(520) 487-1975
Mailing address
4115 W AERIE DR, TUCSON, AZ 85741-2408
(702) 752-6837
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149031797
IL
104100000X
Social Worker
Primary
21253
AZ
Other
Enumeration date
04/17/2023
Last updated
07/11/2026
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