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1962819201
SUSAN FASULO
AUGUSTA, ME
NPI
1962819201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC14158)
Enumeration Date
2014-07-18
Last Update Date
2014-09-04
Business Address
-- SUSAN FASULO
250 ARSENAL ST STATE HOUSE STATION 11
AUGUSTA, ME 04330-5742
Phone number: 207-215-9079
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Mailing Address
-- SUSAN FASULO
250 ARSENAL ST STATE HOUSE STATION 11
AUGUSTA, ME 04330-5742
Phone number: 207-215-9079
Copy
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