Tara Fulgham's National Provider Identifier (NPI) Details
Tara Fulgham, LCSW
NPI: 1174398267
Enumeration Date: 2023-11-17
Last updated: 2023-11-17
Sole Proprietor: YES
Status: active
Postal Address: 159 CENTURY RD, CHEEKTOWAGA, NY
Phone: 716-400-3563
Primary Practice Address: 159 CENTURY RD, CHEEKTOWAGA, NY
Practice's phone: 716-400-3563