Individual
MRS. ESONIJA SHAVON FULGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C, ABD
Contact information
Practice address
8929 SHADY GROVE CT, GAITHERSBURG, MD 20877-1308
(410) 972-9465
Mailing address
8929 SHADY GROVE CT, GAITHERSBURG, MD 20877-1308
(410) 972-9465
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18748
MD
Other
Enumeration date
08/28/2013
Last updated
05/29/2024
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