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Individual

MS. CHERYL FUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
234 RIVER ST, HACKENSACK, NJ 07601-7516
(201) 903-2310
(201) 983-4294
Mailing address
751 PALISADE AVE #453, TEANECK, NJ 07666
(201) 903-2310
(201) 983-4294

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
373H00000X
Day Training/Habilitation Specialist

Other

Enumeration date
10/31/2023
Last updated
10/31/2023
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