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Individual

MRS. BETHANY LEE CUSICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
453 FRONT ST, MARION, MA 02738-1462
(774) 553-5391
Mailing address
453 FRONT ST, MARION, MA 02738-1462
(774) 553-5391

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
09/14/2006
Last updated
01/23/2009
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