Individual
MAURA E MCCUSKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
144 BOOTS BRANCH RD, SUMMERVILLE, SC 29485-6338
(914) 649-8372
Mailing address
144 BOOTS BRANCH RD, SUMMERVILLE, SC 29485-6338
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
13701
SC
1041C0700X
Clinical Social Worker
Primary
R084249-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244624
—
NY
Enumeration date
07/20/2008
Last updated
06/14/2022
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