Organization
BARBARA J. FASULO, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J. FASULO LCSW (OWNER)
(860) 416-5288
Entity
Organization
Contact information
Practice address
2257 SILAS DEANE HWY, ROCKY HILL, CT 06067-2328
(860) 416-5288
Mailing address
2257 SILAS DEANE HWY, ROCKY HILL, CT 06067-2328
(860) 416-5288
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
11/14/2021
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