Individual
MS. ARLEENE FUSSALVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
BLDG 4066 602 STREET, FORT WAINWRIGHT, AK 99703
(907) 361-6059
(907) 360-6151
Mailing address
PO BOX 70654, FAIRBANKS, AK 99707-0654
(646) 239-6046
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R059175-1
NY
Other
Enumeration date
12/01/2006
Last updated
04/27/2023
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