| Elizabeth Kuson Lisw-s, Llc | |
|
355 W Prospect Rd Ste 116c Ashtabula OH 44004-5830 | |
| (330) 221-5951 | |
| Not Available |
| Full Name | Elizabeth Kuson Lisw-s, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 355 W Prospect Rd Ste 116c, Ashtabula, Ohio |
| Authorized Official Name and Position | Elizabeth Kuson (OWNER/THERAPIST) |
| Authorized Official Contact | 3302215951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Kuson Lisw-s, Llc 6322 Trumbull Rd Geneva OH 44041-9333 Ph: (330) 221-5951 | Elizabeth Kuson Lisw-s, Llc 355 W Prospect Rd Ste 116c Ashtabula OH 44004-5830 Ph: (330) 221-5951 |
| NPI Number | 1740890110 |
|---|---|
| Provider Enumeration Date | 07/31/2020 |
| Last Update Date | 07/31/2020 |
| Certification Date | 07/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740890110 | NPI | - | NPPES |
| 1619351087 | Other | OH | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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