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Individual

DANIEL P FULTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
137 N OAK PARK AVE STE 216, OAK PARK, IL 60301-1340
(626) 460-0707
(708) 406-2123
Mailing address
137 N OAK PARK AVE STE 216, OAK PARK, IL 60301-1340
(626) 460-0707
(708) 406-2123

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
124641
CA
106H00000X
Marriage & Family Therapist
166.001589
IL

Other

Enumeration date
08/21/2019
Last updated
01/19/2024
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