Individual
MARGUERITE CUSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
JD, LICSW, LCSW
Contact information
Practice address
910 17TH ST NW, SUITE 300, WASHINGTON, DC 20006-2601
(202) 441-5148
Mailing address
910 17TH ST NW, SUITE 300, WASHINGTON, DC 20006-2601
(202) 441-5148
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
090409410
VA
1041C0700X
Clinical Social Worker
Primary
LC50080593
DC
Other
Enumeration date
09/11/2016
Last updated
09/11/2016
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