Individual
LYDIA FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 NEW HARTFORD RD, OWENSBORO, KY 42303-1705
(270) 684-5034
Mailing address
81 BOOTH FIELD RD, OWENSBORO, KY 42301-9271
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
254359
KY
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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