Individual
AMBREA MONIQUE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 WHITE AVE, NASHVILLE, TN 37204-2235
(888) 291-4357
(615) 463-6603
Mailing address
2400 WHITE AVE, NASHVILLE, TN 37204-2235
(888) 291-4357
(615) 463-6603
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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