TARA LYNN FULGHAM

CHEEKTOWAGA, NY
NPI1174398267
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  096102-01)
Enumeration Date2023-11-17
Last Update Date2023-11-17
Business Address
TARA LYNN FULGHAM LCSW
159 CENTURY RD
CHEEKTOWAGA, NY 14215-1309
Phone number: 716-400-3563
Mailing Address
TARA LYNN FULGHAM LCSW
159 CENTURY RD
CHEEKTOWAGA, NY 14215-1309
Phone number: 716-400-3563