Individual
FULAI VERONICA DIOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 WALKER AVE STE 304, PIKESVILLE, MD 21208-4067
(443) 213-8243
Mailing address
19 WALKER AVE STE 304, PIKESVILLE, MD 21208-4067
(443) 213-8243
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
09/06/2012
Last updated
06/23/2022
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