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Individual

LAURIE MARIE FULFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
250 DESIARD PLAZA DR, MONROE, LA 71203-4955
(318) 343-6100
(318) 343-8600
Mailing address
308 FORTY OAKS FARM RD, WEST MONROE, LA 71291-9095
(318) 397-7084

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7283
LA

Other

Enumeration date
08/17/2006
Last updated
07/08/2007
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