Individual
MS. JACQUELINE A FUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMFT
Contact information
Practice address
1609 WOODBOURNE RD, SUITE 401 B, LEVITTOWN, PA 19057-1500
(215) 932-9873
Mailing address
3300 NESHAMINY BLVD, APT 539, BENSALEM, PA 19020-1755
(215) 932-9873
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000651
PA
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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