MS. Lisa Marie Vullo, LCSW
NPI #1154838910 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1154838910
- Entity Type
- Individual
- Name
- MS. Lisa Marie Vullo, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jan 2, 2018
- Last Updated
- Jan 2, 2018
Practice Location
- Address
- 3432 DEPEW AVE
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33952-7015
- Phone
- (848) 422-9245
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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