Individual
MONICA FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31229 PLYMOUTH RD, LIVONIA, MI 48150-2105
(734) 466-5150
Mailing address
31153 PLYMOUTH RD STE 105, LIVONIA, MI 48150-2134
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6361004226
MI
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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