TARA FULKERSON

LOUISVILLE, KY
NPI1265772867
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies225C00000X Rehabilitation Counselor
Enumeration Date2013-02-20
Last Update Date2014-05-05
Business Address
-- TARA FULKERSON
4710 CHAMPIONS TRACE LN #104
LOUISVILLE, KY 40218-3495
Phone number: 502-589-8600
Mailing Address
-- TARA FULKERSON
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number:
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