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1407038540
MARSHA ANN FASULLO
METAIRIE, LA
NPI
1407038540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 1654)
Enumeration Date
2007-11-30
Last Update Date
2007-11-30
Business Address
-- MARSHA ANN FASULLO LCSW
433 METAIRIE RD SUITE 106
METAIRIE, LA 70005-4333
Phone number: 504-835-5007
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Mailing Address
-- MARSHA ANN FASULLO LCSW
314 CHERRY BLOSSOM LN
TERRYTOWN, LA 70056-2758
Phone number: 504-388-3258
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