Jonai Alisia Fullard

NPI #1174385264 in Richardson, Texas

Provider Information

NPI Number: 1174385264
Entity Type: Individual
Name: Jonai Alisia Fullard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Jan 25, 2024
Last Updated: Jan 28, 2024

Practice Location

Address: 411 BUCKINGHAM RD APT 1331
City: Richardson
State: Texas
ZIP Code: 75081-5790
Phone: (972) 454-0414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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