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1174636641
LAURIE MARIE FULFORD
MONROE, LA
NPI
1174636641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 7283)
Enumeration Date
2006-08-17
Last Update Date
2007-07-08
Business Address
-- LAURIE MARIE FULFORD LCSW
250 DESIARD PLAZA DR
MONROE, LA 71203-4955
Phone number: 318-343-6100
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Mailing Address
-- LAURIE MARIE FULFORD LCSW
308 FORTY OAKS FARM RD
WEST MONROE, LA 71291-9095
Phone number: 318-397-7084
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