Individual
CATHERINE CUSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10 MENDING WALLS RD, MANCHESTER CENTER, VT 05255-9738
(201) 716-9328
Mailing address
10 MENDING WALLS RD, MANCHESTER CENTER, VT 05255-9738
(201) 716-9328
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
083645-1
NY
1041C0700X
Clinical Social Worker
Primary
089.0134468
VT
1041C0700X
Clinical Social Worker
44SC05639800
NJ
Other
Enumeration date
08/10/2016
Last updated
05/20/2022
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