Individual
MS. CAROL LYNNE CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
125 E 87TH ST APT 5D, NEW YORK, NY 10128-1126
(212) 369-3074
Mailing address
125 E 87TH ST APT 5D, NEW YORK, NY 10128-1126
(212) 369-3074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR-017779-1
NY
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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