Tara Lynn Fulgham, LCSW

NPI #1174398267 in Cheektowaga, New York

Provider Information

NPI Number: 1174398267
Entity Type: Individual
Name: Tara Lynn Fulgham, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Nov 17, 2023
Last Updated: Nov 17, 2023

Practice Location

Address: 159 CENTURY RD
City: Cheektowaga
State: New York
ZIP Code: 14215-1309
Phone: (716) 400-3563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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