Individual
COLIN MATTHEW KUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
233 MAIN ST, NEW BRITAIN, CT 06051-4204
(860) 229-4830
Mailing address
233 MAIN ST, NEW BRITAIN, CT 06051-4204
(860) 229-4830
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3937
CT
1041C0700X
Clinical Social Worker
Primary
10847
CT
Other
Enumeration date
03/07/2019
Last updated
12/03/2019
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