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Individual
COLEEN K CUSICK-BROWN
Active
Individual
COLEEN K CUSICK-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMSW, LMHP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
715
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12575
MIDLANDS CHOICE
—
01
—
6255838
UNITED BEHAVIORAL HEALTH
—
01
—
84365
BCBS
NE
Enumeration date
01/05/2007
Last updated
12/19/2016
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