Individual
ELIZABETH KUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
355 W PROSPECT RD STE 116C, ASHTABULA, OH 44004-5830
(330) 221-5951
Mailing address
6322 TRUMBULL RD, GENEVA, OH 44041-9333
(330) 221-5951
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1600303
OH
Other
Enumeration date
07/16/2015
Last updated
07/31/2020
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