Larkin Ellison Fultz LCSW

NPI 1063462752 - Social Worker - 1041C0700X

NPI Details
NPI 1063462752
Gender Female
Enumeration Date 05/11/2006
Last Updated 03/08/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
4038 DESOTO STREET
MANDEVILLE LA, 70471, US
Phone (985) 264-1683
Fax (985) 892-2287
Business Location
204 EAST 6TH AVENUE
COVINGTON LA, 70433, US
Phone (985) 264-1683
Fax (985) 892-2287
Toxanomy
Taxonomy Code 1041C0700X
License State Louisiana
License Number 4030
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According to our database, Larkin Ellison Fultz LCSW NPI is 1063462752, taxonomy code is 1041C0700X and license number is 4030, license state is located at Louisiana. Larkin Ellison Fultz LCSW physically located at 4038 Desoto Street, Mandeville LA, 70471. NPI Number Larkin Ellison Fultz LCSW has the Individual type.

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1063462752 NPI number is provided on an as is basis without warranty of any kind. 1063462752 is maintained by the National Plan & Provider Enumeration System. The contents of Larkin Ellison Fultz LCSW are for informational purposes only.