Individual
MR. ROBERT JOHN FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W., LICSW
Contact information
Practice address
64 MAIN ST, MONADNOCK FAMILY SERVICES, KEENE, NH 03431-3701
(603) 357-4400
Mailing address
17 93RD ST, KEENE, NH 03431-3748
(413) 634-2220
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
104100000X 997
NH
104100000X
Social Worker
Primary
997
NH
104100000X
Social Worker
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81263595
—
NH
Enumeration date
01/31/2007
Last updated
01/02/2008
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