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1245005909
MATTHEW A FULTZ
TAMPA, FL
NPI
1245005909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-11-21
Last Update Date
2023-11-21
Business Address
Mr. MATTHEW A FULTZ
4520 OAK FAIR BLVD
TAMPA, FL 33610-7329
Phone number: 813-542-5500
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Mailing Address
Mr. MATTHEW A FULTZ
11705 BOYETTE RD STE 480
RIVERVIEW, FL 33569-5533
Phone number: 703-565-7018
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