Individual
MS. SANDI K FULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1608 S ELWOOD AVE, TULSA, OK 74119-4208
(918) 587-3888
(918) 587-3891
Mailing address
10255 E 540 RD, CLAREMORE, OK 74019-0297
(918) 587-3888
(918) 587-3891
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3823
OK
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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