EVAN THEODORE FULFORD

DETROIT, MI
NPI1669091286
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801106033)
Enumeration Date2020-04-14
Last Update Date2020-04-14
Business Address
EVAN THEODORE FULFORD LMSW
19928 LICHFIELD RD
DETROIT, MI 48221-1363
Phone number: 313-804-8128
Mailing Address
EVAN THEODORE FULFORD LMSW
19928 LICHFIELD RD
DETROIT, MI 48221-1363
Phone number: 313-804-8128
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