Individual
CARLY CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3805 MEADS CREEK RD, PAINTED POST, NY 14870-9509
(607) 962-3100
Mailing address
3805 MEADS CREEK RD, PAINTED POST, NY 14870-9509
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
099324
NY
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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