LARKIN ELLISON FULTZ

MANDEVILLE, LA
NPI1063462752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  4030)
Enumeration Date2006-05-11
Last Update Date2016-03-08
Business Address
-- LARKIN ELLISON FULTZ LCSW
4038 DESOTO STREET
MANDEVILLE, LA 70471
Phone number: 985-264-1683
Mailing Address
-- LARKIN ELLISON FULTZ LCSW
204 EAST 6TH AVENUE
COVINGTON, LA 70433
Phone number: 985-264-1683
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