Individual
SAMUEL JOSEPH FUSILIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
128 ADELINE DR, EUNICE, LA 70535-6826
(337) 457-8456
(337) 363-1567
Mailing address
128 ADELINE DR, EUNICE, LA 70535-6826
(337) 457-8456
(337) 363-1567
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1110
LA
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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