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1538843859
KELLIE ANN FUSCO
ROSEBURG, OR
NPI
1538843859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-06-15
Last Update Date
2023-07-05
Business Address
KELLIE ANN FUSCO
2285 NW STEWART PKWY STE 200
ROSEBURG, OR 97471-5557
Phone number: 541-680-8396
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Mailing Address
KELLIE ANN FUSCO
PO BOX 384
OAKLAND, OR 97462-0384
Phone number: 541-680-8396
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