Individual
BRANDY FUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
713 HARRISON STREET, SYRACUSE, NY 13210-4663
(347) 702-1096
Mailing address
300 UNIVERSITY AVE APT 460, SYRACUSE, NY 13210-4663
(347) 702-1096
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NY
Other
Enumeration date
06/23/2023
Last updated
06/26/2023
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