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1073900544
TARA FULTON
HATTIESBURG, MS
NPI
1073900544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C7433)
Enumeration Date
2015-04-22
Last Update Date
2015-07-27
Business Address
Ms. TARA FULTON LCSW
707 CORINNE ST
HATTIESBURG, MS 39401-3854
Phone number: 601-408-6284
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Mailing Address
Ms. TARA FULTON LCSW
707 CORINNE ST
HATTIESBURG, MS 39401-3854
Phone number: 601-408-6284
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