Organization
SUSAN E. KOTULSKY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN E. KOTULSKY MA, LMFT (PRINCIPAL/OWNER)
(203) 615-4452
Entity
Organization
Contact information
Practice address
140 SHERMAN STREET, FAIRFIELD, CT 06824
(203) 615-4452
Mailing address
61 BULLARD STREET, FAIRFIELD, CT 06825
(203) 615-4452
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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