Individual
MS. CYNTHIA COLLEEN FULFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
9415 E HARRY ST STE 305, WICHITA, KS 67207-5077
(316) 258-2409
(316) 285-0527
Mailing address
2022 S WEBB RD STE 261, WICHITA, KS 67207-5627
(316) 258-2409
(316) 634-3075
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3767
KS
Other
Enumeration date
01/13/2013
Last updated
10/02/2021
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