Search › Massachusetts › Clinical Social Worker
Ridgely Fuller
NPI 1629120514 · on the registry since 2007 · sole proprietor
Practice
- Address
- 4 Riverview Ave
Waltham, MA 02453 - Phone
- (781) 790-1419
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts