Individual
ALISSA FULFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
29 EMERSON AVE, GLOUCESTER, MA 01930-2556
(978) 281-2400
Mailing address
8 STONE CT, GLOUCESTER, MA 01930-3435
(978) 879-9778
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MA
Other
Enumeration date
02/09/2023
Last updated
07/29/2025
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