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Individual

MRS. LACINDER ROSEANN KING-FULTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PROGRAM DIRECTOR

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
253Z00000X
In Home Supportive Care Agency
311Z00000X
Custodial Care Facility
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
372600000X
Adult Companion

Other

Enumeration date
06/22/2020
Last updated
03/23/2026
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