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Individual
SHANTARA L. BUSSEY-MARTIN
Active
Individual
SHANTARA L. BUSSEY-MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
SW19158
FL
Other
Enumeration date
12/22/2021
Last updated
01/12/2024
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