| Doctor Name: | MARILYN MC CUSKER |
| NPI Number: | 1083892145 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCADC |
| License Number: | 44SW01090300 |
| Business Practice Address: | 540 Route 22 Bridgewater, NJ - 088072405 |
| Business Phone Number: | 9087221881 |
| Business Fax Number: | |
| Mailing Address: | 319 Maple St, Attn Avazquez PERTH AMBOY |
| State: | NJ |
| Postal Code: | 088614101 |
| Phone Number: | 7323248200 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2008 |
| NPI Last Update Date: | 01/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SW01090300 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |