Individual
THOMAS L FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
329 BATH RD, BRUNSWICK, ME 04011-2609
(800) 434-3000
Mailing address
66 BOARD RD, BRUNSWICK, ME 04011-3800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC171
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216790099
—
ME
Enumeration date
05/02/2007
Last updated
07/08/2007
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