Individual
MRS. CYNTHIA MOON FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 KINGS DAUGHTERS DR, FRANKFORT, KY 40601-4248
(502) 226-3300
(502) 223-7491
Mailing address
130 KINGS DAUGHTERS DR, FRANKFORT, KY 40601-4248
(502) 226-3300
(502) 223-7491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1240
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00483445
ANTHEM
KY
01
—
2081005
CIGNA
KY
05
—
7100336590
—
KY
Enumeration date
04/26/2006
Last updated
06/12/2021
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