Individual
MRS. NICOLE CUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
68 S MEADOW RD # 68, PLYMOUTH, MA 02360-4742
(508) 510-0111
Mailing address
68 S MEADOW RD, PLYMOUTH, MA 02360-4742
(508) 510-0111
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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