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Individual

ANGELA J FUCCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
102 ORIOLE CT, HAWLEY, PA 18428-7774
(570) 807-8212
Mailing address
102 ORIOLE CT, HAWLEY, PA 18428-7774
(570) 729-5795

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
103554-1
NY
104100000X
Social Worker
SW133514
PA
1041C0700X
Clinical Social Worker
44SC06047600
NJ
1041C0700X
Clinical Social Worker
Primary
CW022188
PA
251S00000X
Community/Behavioral Health Agency
BH003272
PA

Other

Enumeration date
12/21/2018
Last updated
03/20/2025
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