Individual
MRS. BIAAN MIDDLETON FUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
2611 LIBERTY HILL RD, CAMDEN, SC 29020-1871
(803) 432-5323
(803) 713-3978
Mailing address
215 N MAGNOLIA ST, SUMTER, SC 29150-4943
(803) 775-9364
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
07/26/2011
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