# SUSAN E. KOTULSKY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831448315
- **Authorized official:** MS. SUSAN E. KOTULSKY MA, LMFT (PRINCIPAL/OWNER)
- **Authorized official phone:** (203) 615-4452

## Contact information

- **Practice address:** 140 SHERMAN STREET, FAIRFIELD, CT 06824
- **Practice address phone:** (203) 615-4452
- **Mailing address:** 61 BULLARD STREET, FAIRFIELD, CT 06825
- **Mailing address phone:** (203) 615-4452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2012
- **Last updated:** 08/30/2012