Individual
MISS DEBORAH E FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M ED, GCDF, HS-BCP
Contact information
Practice address
500 N ACADEMY ST, KINGSTREE, SC 29556-3408
(843) 355-0866
Mailing address
500 N ACADEMY ST, KINGSTREE, SC 29556-3408
(843) 355-0866
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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