Susan Fasulo
Susan Fasulo is a Clinical Social Worker in Augusta, Maine. Practices as a sole proprietor. Licensed in Maine.
- Licensed in
- ME
- In the registry since
- 2014
Practice location Address checks out
250 Arsenal St State House Station 11Augusta, ME 04330-5742
Phone: (207) 215-9079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence LC14158 (ME) |
|---|
Record details
| NPI number | 1962819201 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 18, 2014 |
| Last updated in NPPES | September 4, 2014 |
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