Larkin Ellison Fultz, LCSW
NPI #1063462752 in Mandeville, Louisiana
Provider Information
- NPI Number
- 1063462752
- Entity Type
- Individual
- Name
- Larkin Ellison Fultz, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- May 11, 2006
- Last Updated
- Mar 8, 2016
Practice Location
- Address
- 4038 DESOTO STREET
- City
- Mandeville
- State
- Louisiana
- ZIP Code
- 70471
- Phone
- (985) 264-1683
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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