Individual
CAROL MITCHELL CUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10 CALDWELL RD, AUGUSTA, ME 04330-5735
(207) 626-3448
(207) 626-3453
Mailing address
10 CALDWELL RD, AUGUSTA, ME 04330-5735
(207) 626-3448
(207) 626-3453
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC509
ME
Other
Enumeration date
08/25/2006
Last updated
03/20/2012
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