Individual
CHARLES KA UA TAYLOR-FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 745-4900
(248) 994-8005
Mailing address
2672 BEACON HILL DR APT 312, AUBURN HILLS, MI 48326-3736
(248) 745-4900
(248) 994-8005
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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