Individual
PATRICIA FULFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3125 POPLARWOOD CT STE 203, RALEIGH, NC 27604-6445
(919) 787-6731
Mailing address
3125 POPLARWOOD CT STE 203, RALEIGH, NC 27604-6445
(919) 787-6731
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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