Individual
MS. STEPHANIE FULGENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
18725 DALLAS PKWY, DALLAS, TX 75287-4239
(972) 689-4434
Mailing address
18725 DALLAS PKWY APT 321, DALLAS, TX 75287-4240
(972) 689-4434
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201320
TX
Other
Enumeration date
11/11/2013
Last updated
08/03/2021
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