Individual
MARILYN MCCUSKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
540 ROUTE 22, BRIDGEWATER, NJ 08807-2405
(908) 722-1881
Mailing address
319 MAPLE ST, ATTN AVAZQUEZ, PERTH AMBOY, NJ 08861-4101
(732) 324-8200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00024500
NJ
1041C0700X
Clinical Social Worker
44SW01090300
NJ
Other
Enumeration date
01/31/2008
Last updated
02/18/2020
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