Individual
LISA MARIE FUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LSW
Contact information
Practice address
1129 SAXON ROAD, GLEN DANIEL, WV 25844
(304) 228-5477
Mailing address
PO BOX 17, CRAB ORCHARD, WV 25827-0017
(304) 228-5477
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00940142
WV
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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