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Contact Information

LISA A FULMER, LCSW-R
20 OFFICE PARK WAY
TOBEY VILLAGE OFFICE PARK
PITTSFORD, NY14534
 Phone: 585-314-9737
 Fax: 585-248-6297
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for LISA A FULMER · (Female)

NPI Number 1093086746
Status Active
Credentials LCSW-R
Entity Individual
Enumeration date 01/25/2012
Last updated 12/06/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # R035653-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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