Individual
RENADA FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6605 EUGENIA ST, MANSURA, LA 71350-4911
(318) 717-5924
Mailing address
6605 EUGENIA ST, MANSURA, LA 71350-4911
(318) 717-5924
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18123
LA
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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