Individual
DODY CUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
117 W MAIN ST STE 107, LANCASTER, OH 43130-3799
(740) 895-5900
(740) 895-6466
Mailing address
PO BOX 396, SPRINGBORO, OH 45066-0396
(740) 895-5900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
131254
OH
1041C0700X
Clinical Social Worker
I-0009898
OH
1041C0700X
Clinical Social Worker
Primary
S.0009898
OH
Other
Enumeration date
03/06/2007
Last updated
05/10/2022
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