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1164693172
LARRY ELMER FULTZ
BALTIMORE, MD
NPI
1164693172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 06248)
Enumeration Date
2008-03-18
Last Update Date
2008-03-18
Business Address
Dr. LARRY ELMER FULTZ PhD
5024 CAMPBELL BLVD SUITE H
BALTIMORE, MD 21236
Phone number: 410-931-9280
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Mailing Address
Dr. LARRY ELMER FULTZ PhD
407 ALABAMA RD
TOWSON, MD 21204-4308
Phone number: 410-823-1429
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