Individual
SUZANNE CUSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
12512 S MELVINA AVE, PALOS HEIGHTS, IL 60463-1844
(800) 000-0000
Mailing address
12512 S MELVINA AVE, PALOS HEIGHTS, IL 60463-1844
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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