Individual
DACIA LORALEE FUSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
15523 SE WILLS WAY, MILWAUKIE, OR 97267-4278
(917) 599-8783
Mailing address
15523 SE WILLS WAY, MILWAUKIE, OR 97267-4278
(917) 599-8783
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NY
Other
Enumeration date
05/28/2015
Last updated
08/03/2021
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