Tiffany I Fuller, SUDRC
Tiffany I Fuller, SUDRC is a Social Worker in San Jose, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
101 Jose Figueres Ave Ste 50San Jose, CA 95116-2068
Phone: (408) 207-0560
Fax: (408) 642-6052
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 108495 (CA) |
|---|
Record details
| NPI number | 1831743970 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SUDRC |
| Sole proprietor | No |
| NPI enumerated | July 26, 2019 |
| Last updated in NPPES | July 29, 2024 |
| Certification date | July 29, 2024 |
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