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1811100993
LESLIE MARIE FULGHAM
SANTA MONICA, CA
NPI
1811100993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY20561)
Enumeration Date
2007-05-07
Last Update Date
2021-08-13
Business Address
Dr. LESLIE MARIE FULGHAM Ph.D
270 26TH ST SUITE 208
SANTA MONICA, CA 90402-2566
Phone number: 310-625-1137
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Mailing Address
Dr. LESLIE MARIE FULGHAM Ph.D
270 26TH ST SUITE 208
SANTA MONICA, CA 90402-2566
Phone number: 310-393-2626
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