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Individual
SAMANTHA FULTON
Active
Individual
SAMANTHA FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC018296
PA
103K00000X
Behavior Analyst
BH001353
PA
Other
Enumeration date
05/13/2014
Last updated
04/01/2025
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