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1023630076
INDIA M CUSACK
BROOKLYN, NY
NPI
1023630076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2020-05-13
Last Update Date
2020-05-13
Business Address
INDIA M CUSACK
2020 CONEY ISLAND AVE
BROOKLYN, NY 11223-2329
Phone number: 718-676-4260
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Mailing Address
INDIA M CUSACK
2020 CONEY ISLAND AVE
BROOKLYN, NY 11223-2329
Phone number:
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