Individual
MARCUS AUSTIN FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1410 CRAIN HWY N STE 2B, GLEN BURNIE, MD 21061-9304
(410) 553-4450
Mailing address
108 EDELTON AVE, SEVERN, MD 21144-3236
(410) 980-3741
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
31115
MD
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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