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Mary Fulghum, LMFT, L.P.C

NPI 1831273275 · on the registry since 2006 · sole proprietor

Practice

Address
9791 Old Saint Augustine Rd
Jacksonville, FL 32257
Phone
(904) 762-4040
Fax
(904) 238-5078

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
101YP2500X
Licence states on file
FL, MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida