Individual
MS. SUSAN ELAINE KOTULSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMFT
Contact information
Practice address
49 JOHN ST, SOUTHPORT, CT 06890-1484
(203) 307-3030
Mailing address
61 BULLARD ST, FAIRFIELD, CT 06825-3716
(203) 615-4452
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001469
CT
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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