Individual
MS. EMILY LUSTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 376-8975
Mailing address
138 W ROCK AVE, NEW HAVEN, CT 06515-2223
(203) 675-5253
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9442
CT
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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