Individual
ELIZABETH FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1355 S HIGLEY RD STE 115, GILBERT, AZ 85296-4789
(718) 930-1836
Mailing address
1456 E GLACIER PL, CHANDLER, AZ 85249-5459
(718) 930-1836
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19212
AZ
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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